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User 13, at 280 pounds, specifically questioned whether his 0.25mg subcutaneous dose was insufficient given his body weight

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[5] Altered sleep patterns, difficulty concentrating, irritability, overactivity, excitability, mental depression, confusion and impaired judgement have all been reported in patients receiving 15 mg of folic acid daily for 1 month

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The tradeoff is complexity: you are managing two reconstituted vials, two injection schedules, and two cycling timelines

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Thank you Dr Jay for being available and continuing my care

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Regardless of the mechanism involved, an etiological investigation of vitamin B12 deficiency is necessary before attributing it to metformin [14]

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This is called a relapse

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