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If you have malabsorption syndrome (such as short bowel syndrome, certain bariatric surgery patients, chronic pancreatitis, or celiac disease that severely impairs nutrient uptake), you might need these injections indefinitely to prevent recurrent deficiencies
From there, recommendations are made clearly and practically.
Vagianos 2007
By treating vitamin B12 deficiency, you can lose weight by having the motivation to exercise and not having the urges to binge eat and drink
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