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high pharmacologic doses (1-3 g/day) can cause hypotension, insulin resistance, and hepatotoxicity
You should seek advice if you are experiencing persistent fatigue, unexplained weakness, brain fog, tingling, numbness, or symptoms that are affecting daily life
Who Should Consider Injections
Many patients pair lipotropic B12 injections with GLP-1 therapy such as semaglutide or with phentermine
Injections may be given weekly or biweekly for a short period when levels are low or symptoms are present
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