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You do not need stomach acid to absorb B12 from an injection

Water retention or mild bloating: Small amounts of fluid retention can occur when starting peptide analogues of growth hormone because growth hormone causes sodium and water retention in the tissues, resulting in slight puffiness or bloating

A urology specialist will perform a urinalysis to check for protein in the urine sample

According to the National Institutes of Health (NIH), vitamin B12 provides multiple benefits

The Hb level was decreased in 8 patients (72.7 %) with a history of gastrectomy and 3 patients (27.3 %) without a history of gastrectomy ( P = 0.086)