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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

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Liver Support & Protection Methionine and choline protect liver cells and prevent fat accumulation especially important for patients losing weight rapidly

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It means it didn't work well enough as a standalone pharmaceutical drug