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STIMULATION OF LIPOLYSIS DURING FASTING Fasting acutely stimulates lipolysis, upregulating the serum concentration of fatty acids and glycerol that act as oxidative substrates to maintain energy requirements for other metabolic tissues

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Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement