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This could be due to the effect on the microbiome, specifically by increasing levels of the beneficial gut bacteria Akkermansia

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If you have any questions or concerns, contact your doctor.Thanks Things You'll Need Multi-dose medication vial and properly calibrated syringe or pre-filled medication syringe Alcohol wipes Small clean towel A small gauze square or clean cotton ball Puncture-proof sharps disposal container (if not using a syringe with needle safety device) A sterile bandage References About This Article To give a subcutaneous injection, you'll need to choose an injection site with a layer of fat below the skin, which will help to release the medicine more gradually

If you know your levels are low, B12 supplements are a great start, but you're going to be playing catch-up, so dont expect things to be back to normal immediately