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Deficiencies can occur with medical conditions such as atrophic gastritis (which causes thinning of the stomach lining), pernicious anaemia, Crohns disease, celiac disease, lupus, or other immune system disorders and certain medications

The optimal protocol is to inject first thing in the morning, after an overnight fast of at least 8 hours

This educational protocol presents a subcutaneous injection approach to maximize bioavailability from the 10 mg vial format

Modest appetite reduction (6-9% of reviews) A small percentage report decreased appetite for 3-5 days post-injection

Those who attempt to shed pounds and maintain a healthy liver may benefit from this