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If your ALT or AST levels change significantly, your prescribing provider should evaluate the context, considering whether you have baseline liver disease, how rapidly you are losing weight (rapid fat loss can temporarily increase liver enzyme release), and whether any concomitant medications could be contributing

B12 injections commonly cause mild injection site reactions and rarely hypersensitivity or hypokalaemia

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doi: 10.1016/j.clinbiochem.2015.04.017