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The variable R group gives rise to the four most commonly known cobalamins: cyanocobalamin (CNCbl), methylcobalamin (MeCbl), adenosylcobalamin (AdCbl, also known as cobamamide or 5-deoxyadenosylcobalamin), and hydroxocobalamin (OHCbl)

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Rotation of injection sites remains important regardless of location

Initially, patients have a thyrotoxic phase, later passing through euthyroidism to hypothyroidism and, finally, return to euthyroidism

This study aimed to examine the longitudinal trajectory of these symptoms, classify distinct symptom cluster profiles, uncover symptom interconnections, identify core symptoms, and explore associated factors