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This is probably because the body stores many years' worth of B 12 in the liver and gastric surgery patients are adequately supplemented with the vitamin

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These injections are a powerhouse combination of lipotropic agentssubstances crucial in the bodys fat metabolism processand Vitamin B12

There are some very rare side effects listed in medical literature (mostly when large doses are given): for example, one out of many thousands of patients might develop a disturbance in liver enzymes or a tingling in the fingers or toes