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The most common adverse effects are gastrointestinal, occurring in 20-40% of patients, including nausea, diarrhea, vomiting, constipation, and abdominal pain

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This is particularly valuable given that declining estrogen levels during menopause increase insulin resistance risk

Proper post-reconstitution storage is essential from this point forward

The metabolism and excretion of methylcobalamin may be affected by liver health

SPSS version 26.0 (IBM Corp., Armonk, NY, USA) was used for statistical analysis