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Participants given the highest dose lost around 20 pounds in 12 weeks, and others lost inches from their waist in 6 months

Gastric Bypass Surgery: Procedures that remove or bypass parts of the stomach and small intestine dramatically reduce the body's ability to extract B12

Many people incorporate these compounds into broader protocols that target fat loss through multiple mechanisms simultaneously

2 The British Society for Haematology recommends intramuscular vitamin B 12 for severe deficiency and malabsorption syndromes, whereas oral replacement may be considered for patients with asymptomatic, mild disease with no absorption or compliance concerns

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Some patients benefit from even slower escalation