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[24] Due to its hormonal activity and lack of safety data, breastfeeding during treatment with HCG is not advised

For the enzymes affected by estradiol in one-carbon metabolism (yellow enzymes), as estradiol varies during the menstrual cycle, the multiplier of the V max of the enzyme is scaled between the male value and the female value in table 3 in [22]

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Measurements of serum vitamin B 12 may not reliably detect deficiency, and measurement of serum homocysteine and/or methylmalonic acid should be used to confirm deficiency in asymptomatic high-risk patients with low normal levels of vitamin B 12

The injection itself takes less than five minutes