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Reported intake or a recent injection is the likely cause, since oral supplements, fortified products, and injected B12 are the most common reasons for a high value

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While the full protein is 43 amino acids long, research typically utilizes a specific active fragment (usually LKKTETQ)

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Fasting insulin, HOMA-IR, LH/FSH ratio, total and free testosterone, and SHBG together define which phenotype you present with and which intervention is most likely to move the needle