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Certain health conditions, such as pernicious anemia or specific gastrointestinal disorders that affect B12 absorption, may require even longer-term or lifelong monthly injections

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Fortino recommends the following B12 injection protocol—provided you’re not also receiving a MIC Lipotropic shot: Metabolic Kick-Start Weeks 1–6: 1- 2 B12 shots per week to rapidly elevate your energy levels, reduce workout fatigue, and support early weight-loss gains