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Have digestive disorders, such as celiac disease or Crohns disease, which can lead to malabsorption

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PMID: 28189172 6 Intramuscular Cyanocobalamin Treatment in Patients with Corpus Atrophic Gastritis and Vitamin B12 Deficiency: Efficacy and Predictors of Increased Requirement-A Monocentric Longitudinal Real-Life Cohort Study

How long until patients notice anything

It means the specific claim that a combined MIC injection produces clinically significant fat loss has not been tested in the rigorous, controlled manner that would be required to confirm effectiveness