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Common causes include liver disease (which releases stored B12), kidney disease (reducing B12 clearance), haematological malignancies, solid tumours, and excessive supplementation

This mechanism reduces appetite, slows gastric emptying, and enhances feelings of satiety, thereby supporting sustained weight loss when combined with a reduced-calorie diet and increased physical activity

Are Vitamin B12 Shots Right for Your Health Goals

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If a clinician offers sermorelin as part of a wellness program, it should be done with clear informed consent and appropriate monitoring