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Im only on week 3 of my P3 and just started taking the lipo shots again

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49 Other symptoms related to cobalamin deficiency are elevated lactic dehydrogenase levels, mechanical hemolysis, thrombocytopenia, intravascular coagulation thrombosis, low reticulocyte count, vasoconstriction, and renal and pulmonary vasculopathy

Thats when injections become the most effective route, delivering B12 directly into your system to bypass the problem

In a typical population of young adults, vitamin B 12 deficiency is present in approximately 6%, and this figure largely depends on the region and race (is higher in Asia and Africa), but not on gender [21]