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Dose: 0.25mg daily for weeks 1-2, increased to 0.5mg daily for weeks 3-6 Administration: Subcutaneous injection, rotating between deltoid area and upper chest near the shoulder Duration: 6 weeks total Supporting therapy: Light stretching daily, avoided overhead movements until week 4 Three months out from finishing the protocol, my shoulder still feels solid

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Insulin resistance and adiposity change cytokine and local hormone metabolism, causing aberrations in receptivity and increased risk of miscarriage

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Author Affiliations Abstract Metformin and proton pump inhibitors (PPIs) have been postulated to have an association with vitamin B12 deficiency