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It starts taking proper meals and becomes more active

One product leaflet for B12 states 50-98% of injected B12 is excreted with the urine

Adipocytes from obese subjects have lower levels of adenylyl cyclase activity under hormone-stimulated conditions when compared with adipocytes from nonobese controls (77)

As I elaborate on in my video The Symptoms of Vitamin B12 Deficiency , these include: Abdominal distention Chronic diarrhea Shortness of breath Swollen, red, painful feet Skin darkening Bilateral useless hand syndrome Numbness and tingling in the hands and feet Muscle cramps Dizziness Cognitive disturbances Difficulty walking Erectile dysfunction Fatigue Depression Psychosis Coma Blindness Vitamin B12 Deficiency Treatment Is A Vitamin B12 Shot Better Than Taking B12 Orally