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Here are possible reasons: Dehydration: Vitamin B12 can have a mild diuretic effect
Mechanisms of metabolic dysfunction in cancer-associated cachexia

Vitamin B12 and Other B Vitamins May Help Alleviate Depression

In LIPO-010, the numbers were 30.0% versus 24.1%

Regarding the hemoglobin level, the pooled effect sizes showed no difference between all routes of administration that could reach statistical significance
