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Should be administered under the direction of a licensed medical provider

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However, physicians noticed these patients started losing weight when taking this medication

[DOI] [PMC free article] [PubMed] [Google Scholar] 28.Association between vitamin b12 levels and melancholic depressive symptoms: a Finnish population-based study

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142 Several conditions may also result in higher vitamin B 12 concentrations in critically ill patients, especially in older adults, such as preexisting diseases (eg, renal failure, hepatic diseases, cancer, Alzheimers disease), nutritional status, and inflammatory status (eg, sepsis)