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[3] Although the Gila monster has a low metabolism and one of the lowest lizard sprint speeds, it has one of the highest aerobic scope values (the increase in oxygen consumption from rest to maximum metabolic exertion) among lizards, allowing it to engage in intense aerobic activity for a sustained period of time

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however, absorption of vitamin B 12 is not completely impaired, and this is unlikely to be clinically significant

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Li N, Hua J

This includes over-the-counter and prescription medications