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Description
Tesamorelin Overview Primary Use: Initially developed to reduce excess abdominal fat in HIV patients
Then, I discovered vitamin B12 injections

Fat Loss and Body Composition
High concentrations of haptocorrin interfere with routine measurement of cobalamins in human serum and milk

As I said before PA is still thought to be the primary culprit here, other causes of B12 deficiency such as malabsorption caused by metformin, H2 blockers, PPIs, parasites, etc

doi:10.1016/j.biochi.2012.11.017 28Ward N, Hooper M
