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a patients were taught to self inject b we could buy injectable B12 OTC This paper from 1983 focuses on pernicious anaemia rather than the many other causes of B12 deficiency, much like today, patients who do not have a definitive diagnosis of PA are considered to be in need of less treatment (or none at all) despite the severity of symptoms being exactly the same

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While some patients observe noticeable changes within the first 3 weeks, it may take up to several weeks and months, depending on an individuals health and metabolism

Some include: Cardiovascular Disease People with heart disease or hypertension should use lipotropic injections cautiously

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