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The H protein then shuttles this methylamine group to the T protein, which catalyzes the transfer of the methylene group (CH 2 ) to tetrahydrofolate, forming 5,10-methylenetetrahydrofolate

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At minimum: IGF-1 every 4 weeks, fasting glucose and insulin every 2 weeks initially (monthly once stable), HbA1c every 6 weeks, liver enzymes monthly, and comprehensive metabolic panel quarterly