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Intramuscular (IM) hydroxocobalamin injections bypass the intrinsic factor-mediated absorption mechanism, delivering the entire dose directly into circulation

1997 May-Oct;91(3-5):113-22

Now, two days after the shot, Ive developed extreme fatigue/exhaustion to the point Ive been laying down all day

The latter may be caused by intestinal disorders, infections, bariatric surgery, or pharmacological interference, including histamine H2 receptor antagonists and metformin

It has been extensively studied for its wide range of regenerative and anti-aging properties

Investigational evidence base: Studied in clinical research for effects on body weight, energy intake, and metabolic markers in overweight/obesity populations