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In rare cases, patients may experience some side effects associated with lipotropic injections, including: Nausea Fatigue Constipation Diarrhea Dry mouth Elevated heart rate (racing heart) While side effects of lipotropic injections are uncommon and are typically mild when they do occur, you should still call your provider right away if you are experiencing any uncomfortable or unusual symptoms that you think may be associated with your injections

The role of metformin on vitamin B12 deficiency: a meta-analysis review. Internal and emergency medicine 10 (2015): 93-102

Dietary changes often accompany the decision to supplement with B12

Injections are favored for severe deficiency, malabsorption (e.g., postGI surgery, chronic diarrhea), very low B12 levels with neurologic signs, poor adherence, or when rapid repletion is needed

For metabolism, it helps convert food into energy and acts as a gatekeeper for lipid metabolism and mitochondrial function in muscle cells