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Although it resembles human insulin in most of its structure, the amino acid arginine in position A21 has been replaced by glycine and two arginines have been added to the C-terminus of the B-chain
Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating
Most comparisons showed low to moderate evidence quality, and the studys limitations, inconsistencies, indirectness, and imprecision were the key reasons for the decline in confidence