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Some common side effects include: Pain at injection site Mild diarrhea Itching Feeling of body swelling Low potassium High blood pressure Storage Store at controlled room temperate

Dosage and Administration Administer by intramuscular injection

Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

This regional fat loss matters because visceral fat is strongly associated with metabolic disease, insulin resistance, cardiovascular risk, and inflammation