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This adds another layer of complexity to dosage calculations, because timing, potential interactions, and total injection volume all need consideration

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Your doctor will typically monitor your response through clinical improvement and blood tests such as full blood count, rather than rechecking B12 levels after starting injections

Growth hormone, interleukin- (IL-1), and TNF- affect secretion of IGF-1whereas IGF-2 is affected by TNF- only
