does vitamin b12 injection need to be refrigerated what happens if you inject expired Do B12 Injections Refrigerated: 6 Cool Your Ultimate Guide to Storing

It is also used to treat pernicious anemia, vitamin B 12 deficiency (due to low intake from food or inability to absorb due to genetic or other factors), thyrotoxicosis, hemorrhage, malignancy, liver disease and kidney disease

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Diabetologia 52 , 16281637 (2009)

Providers should transition to emerging weight loss peptides when a patient experiences intractable side effects (like severe nausea or gastroparesis), when they hit a hard weight loss plateau despite dietary compliance, or when the primary clinical obstacle is documented cellular metabolic resistance rather than hyperphagia (overeating)