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Certain conditions may blunt or impede therapeutic response to cyanocobalamin therapy

A shaken peptide vial might look dissolved, but the peptide structure could be compromised, leading to reduced effectiveness

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However, there is little evidence to support B12 shots weight loss effects

These tests include: MCV (mean corpuscular volume) Homocysteine MCV is part of the standard CBC (complete blood count) and it tends to be HIGH when you are B12 deficient

Vitamin B12 also helps prevent megaloblastic anemia, a blood condition that makes people tired and weak