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Thrombotic risk factors in transgender and gender-diverse individuals are multifactorial, involving both modifiable and nonmodifiable factors

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This dramatically helps to quantify the improvement during treatment, in this situation, twice-weekly intramuscular injections of hydroxocobalamin, and it also identified which symptoms probably were unrelated to the deficiency

The effect is selective muscle preservation rather than anabolic growth, perfectly aligned with the goal of pure fat reduction

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