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Previous studies have indicated that higher levels of TNF are associated with decreased expression of BCAA/TCA cycle genes 70

Do IM injections hurt

Supplement dose for vitamin B12 in post-WLS patients varies based on the route of administration: Orally by disintegrating tablet, sublingual (under the tongue), or liquid: 350500 mg daily Nasal spray as directed by manufacturer Parenteral (IM or SQ): 1000 mg monthly Post-WLS patients with B12 deficiency should take 1000 mg/d to achieve normal levels and then resume dosages recommended to maintain normal levels

Dose adjustment, protocol modification, or reevaluation of injury severity and type may be appropriate

Key finding: AOD-9604 failed to produce statistically significant weight loss compared to placebo in a clinical trial

Pabla also explains that there can be complications from an intramuscular shot
