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While toxicity is rare, excessive intake of certain B vitamins (particularly B or B) from multiple sources could increase the risk of side effects (like niacin flush or peripheral neuropathy)

If you have pre-existing deficiencies, addressing them before starting aggressive weight loss improves outcomes and reduces complication risk

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The choice between subcutaneous and intramuscular administration may depend on the formulation, the patients body composition, and the clinics experience