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The PICOs elements were defined as follows: P (Participants): subjects of any age diagnosed with Vitamin B12 deficiency

Avoid Over-Dilution: Adding too much water (e.g., 10 mL to a 2 mg vial) results in a dilute solution, requiring larger injection volumes that may be impractical or uncomfortable

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Inform physical therapist about peptide use, may affect exercise prescription or progression timing