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Until more research on efficacy and safety of oral B12 is available, intramuscular daily or weekly injections should be considered a standard of care, especially in celiac disease and those with gastric bypass surgery

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These injections are formulated to increase energy, support liver function, improve metabolism, and deliver antioxidants to help the body break down fat cells

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[12] [13] Their side effects are well documented and generally mild (headache, flushing, nasal congestion, dyspepsia)