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Deficiency of vitamin B12 may cause tiredness, weakness, constipation, loss of appetite, weight loss and megaloblastic anemia (a condition when red blood cells become larger than normal)

Draw 1ml of the Lipotropic (labeled as MIC/B12) into the syringe

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While sliding hernias are primarily linked to reflux, paraesophageal hernias carry a higher risk of serious complications like obstruction (blockage) or strangulation (when the blood supply is cut off), which may require more urgent surgical attention

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