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The Institute of Medicine reports that no adverse effects have been associated with excess vitamin B12 intake from food and supplements in healthy individuals. However, if youre not deficient in vitamin B12 to begin with or you dont address the underlying reasons you might be deficient, i.e

Bedtime dosing works well because sleep represents a natural fasted state

Replace the pen body if the dial mechanism feels loose, skips clicks, or does not return to zero after a full injection

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If youre in Manhattan, the safest option is to consult with a licensed medical clinic that specializes in obesity care
