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The two medications work through entirely different mechanisms and are metabolised via separate pathways in the body

How It Works / Science Behind It

INSR and IGF1R is expressed in human pre-implantation blastocysts already from the 8-cell stage, while IGF-II is expressed already in the oocyte (36)

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Delayed gastric emptying may affect the absorption of some oral medicines, particularly those with a narrow therapeutic index (for example, levothyroxine or certain anticoagulants), and may reduce overall nutritional intake during active weight loss

B12 injections are generally safe and side effects do not tend to occur in most people, but like all medicines, hydroxocobalamin can cause side effects in some people and even if side effects occur they should pass quickly