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External and iatrogenic causes: Excessive supplementation: High-dose oral supplements or frequent intramuscular injections (hydroxocobalamin or cyanocobalamin) can elevate serum levels, though this rarely causes problems

I am not given up my *affiliated* PCP over this, which is why I am trying the endocrinology route

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In phase 3 trials, after 56 weeks of treatment, 62% of patients receiving contrave 32 (bupropion SR 360 mg/naltrexone SR 32 mg) lost at least 5% of their body weight as compared to 23% of patients in the placebo group [240]

In cohort 2, most patients were also female (68.1%), and the mean age was 50.6 (SD, 14.4)

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