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This includes: Patients with malabsorption issues due to gastrointestinal disorders Individuals with pernicious anemia or other conditions that impair B12 absorption Cases where a rapid increase in B12 levels is necessary In these cases, IV delivery gets B12 straight into the blood

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However, Vitamin B12 injections may have other mild and temporary side effects

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Tesofensine is generally contraindicated for patients with uncontrolled hypertension, a history of arrhythmias, or severe anxiety disorders