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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

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Injectable B12 has been used safely by doctors for decades and is one of the most common medical injections out there

Obesity drugs in clinical development Curr Opin Investig Drugs, 2006, AOD-9604 PMID 26275694 Kwon DR, Park GY

Many states require BMI of 30 or higher with comorbidities, or BMI of 35 or higher regardless of comorbidities