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When B12 is used medically, its typically the prescription product Cyanocobalamin injection administered intramuscularly for documented deficiency

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A doctor will begin the process with a physical examination using a stethoscope to listen to the heart, checking for signs of medical conditions that cause heart palpitations, and inquire about your medical history, diet, present medications, and lifestyle

It is indicated for intramuscular or deep subcutaneous use to treat vitamin B deficiencyoften seen in pernicious anemia or malabsorption syndromes

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Preserve lean body mass because muscle is up to four times more metabolically active than white fat, meaning it burns more calories