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Description
Monitoring-guided supplementation is the usual approach, typically beginning with oral supplementation if blood tests indicate suboptimal levels, and escalating to IM injection if oral treatment is insufficient or poorly tolerated
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Unfortu- nately, this management strategy was not available to us as the hydroxycobalamin preparation is not available in the United States

Studies in obese mice found that administration of the peptide led to large reductions in body fat, particularly in visceral adipose depots

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