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And gastrointestinal effects are the most frequently reported, including: Nausea (especially in the first few weeks) Vomiting Diarrhea Constipation Stomach pain Heartburn Most people find these side effects improve as their body adjusts to the medication, typically within four to eight weeks

Vitamin B12 injections versus oral supplementation A randomized controlled trial was conducted with 50 RYGB patients with postoperative vitamin B12 deficiencies

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showed a 32% drop in chronic low back pain with B12 injections over a two-week period, compared to placebo (it is worth noting that the patients had no form of blood test to assess B12 status)

Elkeeb R, Eid T, Yu J, Nguyen H, Atef E

This tradeoff explains why two compounding providers can list very different monthly fees for essentially the same formulation