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It takes a provider who has the ability to spend that time with the patient to be able to provide good pellet care, Megan says, adding that in todays fast-paced medical world, doctors are often rushing from one patient to the next

Gastrointestinal Distress Despite its role in metabolism, B12 can sometimes irritate the stomach: Nausea Abdominal discomfort Loss of appetite 4

Think of it as opening the drainage valves on stored body fat

If youve had a chronic, severe vitamin deficiency for many years, your symptoms will be more significant than they would be after a few weeks of decreased B12 intake

medical doctors also use it for smaller insulin doses