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Given the safety, relative low cost, and significant affect cobalamin deficiency can have on quality of life, we recommend B12 supplementation for all emaciated patients, regardless of whether access to serum cobalamin testing is available

Patients considering these injections should understand that B12 shots address a specific medical deficiency, whereas lipo shots are offered as complementary interventions without robust clinical evidence supporting their efficacy for weight loss or metabolic enhancement

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