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Vitamin B12 injections are significantly more expensive than oral supplements when accounting for the full cost of treatment including office visits, injection fees, and ongoing maintenance appointments

If vegan, discuss fortified foods or supplements to prevent recurrence

Certain populations may require more frequent maintenance

The vitamin is also essential for DNA synthesis and red blood cell formation, meaning deficiency can have wide-ranging effects beyond the nervous system, including fatigue and cognitive difficulties

Effect of tesofensine on bodyweight loss, body composition, and quality of life in obese patients a randomised, double-blind, placebo-controlled trial

E., Hampton G