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The mechanisms are complementary, not competitive
*Drugs in Pregnancy and Lactation* (11th ed.)
While low serum cobalamin levels do not necessarily imply deficiency, an abnormally high serum cobalamin level forms a warning sign requiring exclusion of a number of serious underlying pathologies
Once imbalanced, it can lead to decreased bone mass, osteoporosis, and increased risk of fractures
At the same time, it inhibits lipogenesis, which is the formation and storage of new fat cells
How to Recognize an Intramuscular vs Subcutaneous Injection An intramuscular injection at a subcutaneous site produces sharper, deeper pain on insertion and a more pronounced ache after withdrawal
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