[10] [11] Intramuscular B12 injections (hydroxocobalamin or cyanocobalamin) bypass the digestive system, but UK product information (SmPCs) for hydroxocobalamin injections does list gastrointestinal disturbances, including diarrhoea, as possible adverse reactions, albeit rare
This receptor modulation triggers a cascade of intracellular signaling events that ultimately result in the activation of hormone-sensitive lipase, the enzyme responsible for breaking down stored triglycerides into free fatty acids and glycerol
It can take a few weeks or longer for a person to feel better once they begin treatment for a B12 deficiency
Baltimore Post Examiner
If you are a vegetarian, include wheat germ, soybeans, fortified bread, cereals, and grains, or take a daily B12 supplement