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Conversely, if a patient presents with pernicious anemia or severe neurological signssuch as intense tingling in the hands, memory loss, or muscle weaknessthe dosage remains the same (usually 1,000 mcg), but the frequency increases significantly
However, during an initial loading phase, a more frequent schedule may be necessary
Storage: Lyophilized: refrigerate at 28 C (35.646.4 F)
Elevated insulin inhibits hormone-sensitive lipase, the enzyme responsible for breaking down stored triglycerides
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