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After an injection the serum B12 value rises quickly, well above the upper reference value (on average 150-700 pmol/L), followed by a slow decrease

Enhanced Energy Levels and Well-being In addition to aiding weight loss, many patients report improved energy levels and overall well-being after starting weight loss injections

This is where hydroxocobalamin comes into play

Wang CC, Xu H, Man GC, Zhang T, Chu KO, Chu CV, Cheng JT, Li G, He YX, Qin L, Lau TS, Kwong J, Chan TH (2013) Prodrug of green tea epigallocatechin-3-gallate (Pro-EGCG) as a potent anti-angiogenesis agent for endometriosis in mice

If possible, the overlying healthy surface membrane should be preserved, to optimize healing

Looking only at the painful area may miss contributing problems elsewhere