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In one Spanish hospital series of adults with a very high B12 and no supplementation, structural liver disease was present in roughly a quarter
I am not well and when I asked dr in his best medical condition how many years I had left, he reluctantly replied 10 years maybe longer and that they could take sections out
As for the stopper, its sealing ability gets compromised
Pro Tip: Starting with a low dose and slowly titrating up reduces the likelihood and severity of side effects
This means your fourth dose might come up slightly short unless you account for dead-space volume or use a low dead-space syringe
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