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A transparent explanation of evidence limitations and surgical risk priorities is more likely to preserve trust and compliance than confrontational dismissal
Stimulates lipolysis (destruction of fat cells) Supports development of lean muscle mass Promotes anti-inflammatory responses
Because both protocols use a before-bed injection on a 5-days-on/2-days-off schedule, they run cleanly in parallel with no scheduling conflict
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Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation
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