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Weight Loss Surgery For some patients, bariatric surgery is the most effective way to achieve lasting weight loss and reduce the risks of serious health conditions

Treatment may involve oral high-dose B12 tablets or intramuscular hydroxocobalamin injections , depending on the underlying cause (see the following section for dosing detail)

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Plus, more muscle means higher metabolic rate and better glucose disposal (insulin sensitivity), both of which support fat loss

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The problem starts when its used repeatedly, in high doses, for a purpose it was never officially approved for - changing natural skin color