vitamin b12 deficiency anemia require injections monthly Specialist Serving Denver, CO B12 deficiency - self treatment
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doi:10.1016/j.exger.2014.12.016 Gebara KS, Gasparotto Junior A, Palozi RAC, et al

It suppresses the action of lipogenic enzymes, reducing the bodys ability to store excess calories as fat

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This might include limiting alcohol intake

Medical hypotheses, 34(2), 131-140

One possible explanation is that low serum vitamin B12 levels would trap folate as 5-methyltetrahydrofolate, prevent the generation of methionine from homocysteine, and therefore reduce protein synthesis and lean tissue deposition
