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Enzyme induction will have little effect on the metabolism of drugs with a high hepatic extraction ratio (because there is little percentage change in the amount metabolized that can be achieved during a single pass through the liver)

[1] The form warns the shot may be ineffective if it is outdated, left unrefrigerated too long, improperly administered, or exposed to heat, sunlight, or freezing temperatures

These are pathway-level associations only and do not predict how much weight you will lose or how you will respond to any specific medication

The injections are prescribed by a doctor as hydroxocobalamin and given intramuscularly in to the deltoid muscle at the top of the arm

Most side effects, like dryness and redness, improve within a few weeks as your skin adjusts