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This is especially true if you have done more than 3 injections and still find the b12 shots not working

Patients should be told this directly, and it should appear in the consent conversation

Over the following weeks most people notice subtle metabolic shifts and reduced bloating first (weeks 12), then more noticeable body-composition change around the midsection (weeks 24), then visible fat loss with muscle preserved (weeks 48), with the best results from week 8 onward, diet and exercise still do the heavy lifting

If experiencing a constant ringing in the ears, either an injection or B12-rich foods are highly recommended