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To answer that question, well look at what is in a MIC B12 shot besides B12

Is there a connection between a B12 deficiency and dementia

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Sandelin, A., Alkema, W., Engstrm, P., Wasserman, W

suggested a difference in the individual MTHFR gene variation ( In contrast to the aforementioned study ( Importantly, we did not preselect patients based on a positive response to previous vitamin B12 injections, leading to more generalizable results in our study

Actual fat loss requires those fatty acids to be oxidized (burned) rather than re-stored, which depends on an overall energy deficit