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The cellular and molecular bases of leptin and ghrelin resistance in obesity
In UK practice, monitoring is primarily based on clinical response rather than routine blood tests, as post-treatment serum B12 measurements can be misleadingly high and may not reflect tissue levels
(Advises that if a dose is missed, take it as soon as possible unless its almost time for the next dose, in which case skip the missed dose
While no formal contraindication exists for concurrent use, the interaction between significant weight loss and hormone levels creates important clinical considerations
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