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This can happen with improper storage, particularly if the medication was left out of the fridge for too long or exposed to extreme temperatures

If you have been told that your standard lab results are "normal" while you continue to suffer, it is important to know that functional, cellular-level deficiencieslike a lack of intracellular adenosylcobalaminare rarely caught on standard tests

[1] It functions as a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist

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However, individual responses vary significantly

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