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Name: b12 injections are Benefits of for Optimal Health Are B12 Shots Safe? Royal
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Lavandero S, Troncoso R, Rotherme BA et al (2013) Cardiovascular autophagy concepts, controversies, and perspectives

So the term off-label is off here since it does not have current FDA approval

This matters clinically because it tells me that if your records show a pre-bariatric B12 level in the low range, your current level is almost certainly lower still, and your surgical planning needs to account for that