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So Where Does Sub Q Even Come From For most compounds, sub q exists because oral doesnt work

Some other prescription medications can directly cause a vitamin B12 deficiency

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Increased proteolysis of insulin-like growth factor-binding protein-3 (IGFBP-3) in Noninsulin-dependent diabetes mellitus serum, with elevation of a 29-kilodalton (kDa) glycosylated IGFBP-3 fragment contained in the approximately 130- To 150-kDa Ternary C

In extreme cases, people with pernicious anemia or a related condition known as vitamin B12 deficiency myelopathy can develop nerve damage related to vitamin B12 deficiency

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