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In a home setting, patients should have a designated spot in their refrigerator to store it safely (ideally in a container to avoid contact with food items and with the original box around it)
These figures are not extrapolated from a human trial (there isnt one) and they are not scaled from the mouse papers
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In ambiguous cases, methylmalonic acid or homocysteine can help
If the deficiency was purely dietary, oral supplementation may be considered after initial repletion
GLP-1s reduce total body weight more dramatically but dont preferentially target visceral fat and can cause some lean mass loss
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