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However, many patients report their appetite setpoint remains lower than before treatment, helping them maintain weight loss

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B12 injection shots can usually be felt within 24 hours (and a change should show in blood tests after a month or two) A high dose of B12 oral supplementation takes the same time as an injection: roughly 24 hours to feel an improvement and then up to 2 months to show in blood markers

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Adverse events reported with ERCP-guided biliary stent placement are well-described in the literature and may be ERCP- or stent-related in nature