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As with any injectable, theres also a small risk of infection if the injection technique is not sterile

Vitamin B12 is often included in the injections since it is well tolerated even at very high dosages
The decision depends on what secondary concerns you are managing alongside your weight loss goal

10.1016/j.jnutbio.2014.10.008 109

For patients with widespread psoriasis affecting large body surface areas, topical application to every plaque becomes impractical
