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More serious complications of B12 deficiency and anemia can lead to serious long-term complications and permanent damage

Some of these physiological adaptations can favor weight regain by increasing hunger and promoting energy storage

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For subcutaneous injection (most common), pinch the skin into a fold, insert the needle at a 45-degree angle, and inject slowly over 510 seconds

The decision to continue, adjust, or discontinue therapy should be based on objective body composition measurements (DEXA scans, circumference measurements), achievement of fat loss goals, tolerance and side effect profile, and physician assessment of metabolic markers