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Since decreased Parasutterella relative abundance may accompany increased stress 80,81 , the increased Parasutterella relative abundance that occurred in this study following diet switch likely arose from the weight loss-mediated negative energy state

Are there any side effects

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A deficiency can also result from not getting enough B12 in what you eat due to various food restrictions

There are no significant restrictions, but you should avoid vigorously massaging the injection site for a few hours