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There are many factors that influence how much weight you can lose when taking lipotropic injections including your diet and what your activity level and exercise habits are

Fatigue is usually the first red flag

Association of Vitamin B12 Levels with Sleep Quality, Insomnia, and Sleepiness in Adult Primary Healthcare Users in Greece

It does not cause macrocytic anemia until stage 4, this is in very last stage of B12 deficiency

Always consult a qualified healthcare professional before starting or modifying any treatment, including the use of investigational peptides such as AOD-9604

That is a large part of why B12 has such a favorable safety record