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One possible explanation is that low serum vitamin B12 levels would trap folate as 5-methyltetrahydrofolate, prevent the generation of methionine from homocysteine, and therefore reduce protein synthesis and lean tissue deposition

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Moderating alcohol intake is recommended since excessive consumption can negatively affect Vitamin B12 levels

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Step 5: Remove air bubbles With the vial still inverted and the needle still inside, look for air bubbles in the syringe barrel

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