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UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started
This reaction is catalyzed by the enzyme methionine synthase with B 12 as an essential cofactor
Degraded peptide is a frequent hidden cause of an apparent stall, so storage is a safety and an efficacy variable
Because it raises GH, blood sugar can rise and IGF-1 should be monitored
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