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These include: B12 levels before injection: Individuals with low B12 levels may experience a more significant and longer-lasting benefit from a B12 injection than those with normal or high levels

But, even if you do get B12 injections, the likelihood of it triggering acne may only be about one in ten

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15 Pharmacologic Considerations of the Subcutaneous Route (PMC)Subcutaneous injection technique and site rotation to prevent lipohypertrophy

I use this along with tirzepeptide, and it has helped maintain my weight and a boost of energy