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Toxicity is extremely rare

It also suggests talking to your doctor first if you: have kidney or liver disease have any type of infection are receiving treatment that affects bone marrow Encourage clients to talk with their doctor before trying to achieve weight loss with vitamin B12 injections

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Use D63.1 specifically when CKD causes anemia

doi: 10.1016/j.cmet.2015.07.017

[41] : 976 Gastric bypass surgery [edit] Various methods of gastric bypass or gastric restriction surgery are used to treat morbid obesity