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Despite its importance, many people find it difficult to get enough B-12 from diet alone, leading to fatigue, weakness, and a sluggish metabolism

Immune-related adverse events and their management in peptide-based therapies. Therapeutic Advances in Chronic Disease , 7(4), 192208

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These can include temporary digestive changes, mild headaches (which are often linked to hydration or electrolyte balance), and some muscle soreness as your body adapts to increased fat oxidation