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Diarrhea and constipation are also commonly observed, each potentially affecting ten to fifteen percent of patients, with individual susceptibility varying based on factors such as baseline gastrointestinal function, dietary habits, and concurrent medications

Before pursuing B12 injections or other interventions marketed for weight loss, patients should consult their GP for proper assessment, investigation of any underlying medical conditions affecting weight, and discussion of evidence-based treatment options

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Therefore, it may only be used off-label when prescribed by an authorized healthcare provider