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No evidence suggests that optimizing b12 status accelerates weight loss beyond what would occur with adequate nutrition overall

The commenter stated that this burden is especially onerous for smaller and rural hospitals that have fewer staff and already face compliance challenges and limited resources and it is precisely those hospitals that often have less sophisticated contracting (or more capitated arrangements) and will struggle to compute medians from messy data

To prevent this, use sterile saline and single-use needles, and make sure they only touch the B12 and your skin

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