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If you have a temporary deficiency or increased requirement (say, after a surgery or during recovery from an acute illness), you might only need a short course, perhaps a few weeks of injections, until your vitamin levels normalize or you can meet your needs by mouth again

Cold storage can slow bacterial growth a little, yet the preservative is still the main protection, and that protection is rated for 28 days

Oral B12 supplements remain the lowest-cost option for people who absorb nutrients normally

Xenical is a branded version of orlistat

We can use topical numbing cream before the injection if requested