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Dizziness or Lightheadedness: In rare cases, individuals may experience dizziness or lightheadedness after receiving a B12 injection

It stimulates lipolysis (breakdown of stored fats) and inhibits lipogenesis (formation of new fat), primarily via activation of -adrenergic and AMP-activated protein kinase (AMPK) pathways

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This finding aligns with current AAFP clinical guidance recommending oral therapy as a first-line option for most patients

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