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Our friends and family outside of the B12 world see our predicament as bizarre, they ask us the following questions about B12 injections: Are they life-saving YES Is it expensive NO Can you overdose NO We can ask the same of questions about insulin: Is it life-saving YES Is it expensive YES Can you overdose YES Can you imagine the outrage if insulin were stopped for six months

The other potentially moves you into the overweight range, a transition associated with massive reductions in mortality risk and disease burden

Surgery carries surgical risks and requires permanent dietary modifications

Nayan Patel: Well, that's a piece of the technology that we have, that it does not require refrigeration