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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

Losing weight can be difficult when you dont seem to have the energy to keep up with your exercise routine and that goes double when it doesnt seem like youre making any progress because of a slow metabolism

If you eat before administration, particularly foods containing carbohydrates, insulin levels rise and partially inhibit the fat-releasing pathways AOD-9604 activates

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