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If your B12 deficiency is due to an autoimmune disease or something that's not related to diet, you may need to get injections every two or three months for the rest of your life

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Additionally, ginger tea, peppermint, or over-the-counter antihistamine-based anti-nausea medications (such as meclizine) can provide temporary relief while your body adapts, though you should confirm any add-on medications with your prescribing physician

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Community reports on injectable SLU-PP-332 cluster around weeks 23 for noticeable changes: Better cardio capacity at familiar workloads running paces feel easier, longer sets without fatigue Reduced perceived exertion at the same heart rate Modest fat-loss signals (waistline, scale) at maintenance calories Community reports on oral capsules and tablets at the same timeline are split