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Most patients starting with normal b12 levels and no significant risk factors do not require supplementation
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However, every treatment has some downsides
Pick one location and stay with it, because moving a vial in and out of the fridge creates condensation on the stopper, and a wet stopper is harder to disinfect properly
It has a mild calming effect that can support better sleep quality, which is important because poor sleep worsens hunger, cravings, and metabolic health
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