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Both routes lead back to the same growth signal

Topical penetration is enhanced by vehicle formulation (e.g., liposomal encapsulation, penetration enhancers) but remains lower than subcutaneous or intravenous delivery

Using incorrect grades increases safety risks in outpatient environments

As a result, they switch medications and resort to trial and error

"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)