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2024;16(2), e54393

After the third injection, an initial increase in serum cobalamin concentration was observed, although the achieved level was not stable and a fourth injection was required

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This interference process may integrate metabolic processes in other parts of the body, such as the production of IGF-1 in the liver, to respond to changes in seasonal and nutritional challenges by affecting normal regulatory processes (Pitknen et al., 1999