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No high-quality clinical trial has demonstrated that B12 injections produce meaningful weight loss outcomes independent of dietary and exercise changes

Dispose used syringes in a proper sharps container to prevent injury and contamination

Alternatively, add 1mL for 20mg/mL, making a 4mg dose just 20 units and a 12mg dose 60 units, though the small volumes for lower doses become harder to measure precisely

Despite the potential to attenuate and possibly reverse deleterious molecular events common to many neurodegenerative diseases, we do not foresee this approach as a cure because the underlying etiologies will likely persist