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Subcutaneous dosing offers more predictable pharmacokinetics but requires proper injection technique and cold-chain storage of reconstituted peptide

Liu W, Gou H, Wang X, Li X, Hu X, Su H, Li S, Yu J (2021) TTPAL promotes gastric tumorigenesis by directly targeting NNMT to activate PI3K/AKT signaling

After desensitization, the patient resumed therapeutic vitamin B12 injections (1 mg every 2 months) with good therapeutic effect and without any adverse reactions

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However, high B12 levels are more often linked to liver or kidney problems, not B12 toxicity

Active B12 assay for diagnosing vitamin B12 deficiency (MIB40)