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This is a serious, potentially fatal adverse event

The amino terminus of insulin-responsive aminopeptidase causes Glut4 translocation in 3T3-L1 adipocytes

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Both studies administered B12 i.m., one used methyl-B12 at a dose of 500 g three times per week for 2 weeks, 63 the other used cyano-B12, 1000 g daily for 2 weeks
