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It works at the cellular level within the fat tissue itself

However, persistent or severe reactions should be evaluated by a healthcare professional

So when a medic says that someone with PA "can use the stored B12 in their liver", as far as I know, we simply don't know whether this is true or not

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Patients go home with a one-month supply, 500 mg total, divided into two doses per week for four weeks

The weight loss itself accounts for some of this effect, but GLP-1 receptor activation also appears to have direct anti-inflammatory and anti-fibrotic effects in liver tissue