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At the origin of these divergences, several possible factors may be hypothesized, such as non-homogeneous populations selection, temporal discrepancies between competitive risk factors and influence of common complication including inflammation and protein-energy wasting (PEW) that could influence circulating homocysteine and that are associated with poorer outcomes [9]

Underground forums report anecdotal side effects including joint pain, injection site reactions, and fatigue, though causality is unclear

Chen L, Diao L, Yang Y, Yi X, Rodriguez BL, Li Y, et al

Is oral vitamin B12 as effective as intramuscular injection

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