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Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

They mobilize the fat and help to break it down

Likely related to niacin-like vasodilation from rapid B12 absorption

Here is the honest version, and it is the one clinicians should be giving patients: MIC lipotropic injections are not a proven driver of meaningful fat loss on their own