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Conversely, the body's adjustment to improved glucose regulation after periods of hyperglycaemia may temporarily affect energy levels

These results highlight that while patients with solid tumors mount strong immune responses, those with hematologic malignancies exhibit weaker and shorter-lived immunity, underscoring the need for improved vaccination strategies in this high-risk group [19]

[19] Cyanocobalamin vials should be stored at controlled room temperature (15 - 25 C), protected from excessive light and humidity, and kept in their original packaging to preserve potency

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