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The lump emerged after she had received 4 intramuscular injections including vitamin B12, tanshinones, vitamin K, and other drugs at a private clinic to treat left shoulder joint pain

B12 deficiency can be caused by certain types of anemia, gastrointestinal conditions that affect absorption, or dietary restrictions such as strict vegetarian or vegan diets

The increased expression of key genes in the carotenoid pathway, specifically hmgR , carRA , and carB , observed in the adapted strains suggests that transcriptional regulation significantly contributes to the phenotype of the improved strain

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Long-term continuous use isnt generally recommended