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when it receives an influx of a nutrient it cannot immediately use or store, it often attempts to clear it through the digestive tract or metabolic pathways, which is where most "too much" symptoms begin

(2.3) Inject subcutaneously in abdominal area, thigh, or upper arm and rotate injection sites within the same region from one injection to the next to reduce risk of lipodystrophy and localized cutaneous amyloidosis

Mitochondria play a crucial role in electron transport and oxidative phosphorylation (31)

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B12 itself doesnt mask other deficiencies, but its possible to have other vitamin deficiencies (like folate or vitamin D) at the same time