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Many clinicians consider anti-obesity medications after the initial rapid weight loss phase, typically 6-12 months post-operatively, or when patients experience a plateau or weight regain despite adherence to post-surgical recommendations

Some clients experience mild, brief soreness at the injection site

Heart Palpitations or High Blood Pressure Heart palpitations Increased heart rate Elevated blood pressure Signs and Symptoms of B12 Overdose signs and symptoms of B12 overdose may include: Skin rash or acne Headaches Nausea or diarrhea Anxiety or restlessness Heart palpitations High blood pressure Trouble sleeping How Much Vitamin B12 Is Too Much

doi: 10.1016/j.animal.2024.101127 107 ReikW.DeanW.WalterJ

Liao D, Tan H, Hui R, Li Z, Jiang X, Gaubatz J, Yang F, Durante W, Chan L, Schafer AI, Pownall HJ, Yang X, Wang H (2006) Hyperhomocysteinemia decreases circulating high-density lipoprotein by inhibiting apolipoprotein A-I Protein synthesis and enhancing HDL cholesterol clearance