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It also suggests talking to your doctor first if you: have kidney or liver disease have any type of infection are receiving treatment that affects bone marrow Encourage clients to talk with their doctor before trying to achieve weight loss with vitamin B12 injections

Also, some peopl have an autoimmune or inflammatory condition of the stomach wall that degrade the proteins that aid vitamin B12 absorption

Later, after B12 stores are back to normal, they may prescribe high doses of oral B12 replacement

This is why B12 injections remain a popular complement to medically guided weight-loss programs

That approach keeps shelf-life decisions simple, documented, and consistent