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Do not use if you have Lebers optic atrophy (may speed up vision loss)

Avoid frost-free freezers with defrost cycles if possible, as the temperature fluctuations are not ideal

Establish long-term eating patterns

But if you lost only 2 pounds per week and your injection cycle lasts only 4 week, you would only lose about 8 pounds

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Other conditions that make Vitamin B12 absorption more difficult are: Weight loss surgery or another operation that removed part of your stomach Heavy drinking Taking acid-reducing medication for a long time Certain health issues may also lead to the development of vitamin B12 deficiency such as atrophic gastritis, pernicious anemia, Crohns disease, celiac disease, immune system disorders, Graves disease and lupus