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Potential masking of underlying hepatic or systemic disease Delayed diagnosis due to symptom suppression Medical supervision is essential to ensure appropriate patient selection, correct dosing, and timely identification of adverse reactions

The purpose of these injections is to speed up the metabolism of fat

Ive found that patients who experience these side effects simply reduce the dosing and frequency of their B12 the symptoms usually resolve

Nat Genet 18:319324

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