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(e) cross-sectional studies with no time restriction, (f) only studies published in English were included due to resource limitations and to ensure accuracy in data extraction and risk-of-bias assessment

After this loading phase, frequency tapers to weekly injections for four to six weeks, then transitions to monthly maintenance doses

B12 is a complex vitamin, it does amazing work in the body, but it cant miraculously eek itself out over 3 months, it is excreted quickly as is the nature of all water soluble vitamins

Think of it as a supportive add-on, not a weight loss booster

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