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B12 shots are recommended for individuals with a potential B12 deficiency, as well as individuals who feel they need additional nutritional supportespecially when oral supplements are not effective

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Eur J Pharmacol 755:4249

So the final page again are pages eight and nine

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This decision is often made when a patient on one medication experiences a plateau in their weight loss, seeks potentially greater benefits, or encounters tolerability issues that might be alleviated by a different mechanism of action