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If oral supplements have not improved your symptoms, injection is almost certainly more appropriate for you
Some participants achieved weight loss of approximately 24% of body weight at 48 weeks approaching levels reported with some bariatric surgical procedures, though no direct head-to-head comparisons have been conducted and long-term durability beyond the trial period remains unknown
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"Perspective: Practical Approach to Preventing Subclinical B12 Deficiency in Elderly Population"
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