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Patients with sluggish response (less than 0.5% weekly weight loss despite caloric deficit) increase to 1.5ml weekly or add a second injection mid-week at 0.51ml
Interference with any of these steps can lead to a state of vitamin B-12 deficiency, and thus deficiency of this vitamin is multicausal
doi: 10.52305/WILY1027 201 ReiterRJ
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