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In contrast, cyanocobalamin is a synthetic form that requires conversion into its active form methylcobalamin before it can be utilized
This diagnostic confusion is the practical clinical risk, not a direct drug-supplement interaction
Studies such as bone scanning with a gadolinium-based agent and chest radiography can be beneficial in assessing metastasis
In people without diabetes, exendin 9-39 increased hepatic extraction of insulin slightly but significantly during fasting (0.66 0.04 versus 0.70 0.03, P = 0.04 [Figure 4A])
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