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For women over 40 or those approaching menopause , hormonal changes can affect fat metabolism and peptide response
Initial treatment for B12 deficiency with neurological involvement: When elderly patients present with neurological symptoms (peripheral neuropathy, cognitive impairment, subacute combined degeneration of the cord), urgent and aggressive replacement is essential to prevent irreversible damage
Always allow vials to come to room temperature before opening to reduce condensation, and avoid repeated freeze-thaw cycles
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