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More importantly, body composition is shifting
This makes it safer for longer-term use and eliminates concerns about developing insulin resistance
Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration
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The moment she was diagnosed with advanced renal disease I started to give her Subcutaneous fluids which helped with the effects of the disease immensely
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