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[7] [8] [2] The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer

For completeness, it is important to note that tap water is entirely unsuitable for injection and carries serious infection risks

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Think of it as a binary choice: Path A: No Training Lose 60 pounds (45 pounds fat, 15 pounds muscle) Metabolic rate drops 200+ calories daily Body composition: skinny-fat appearance Long-term: Higher regain risk, need to eat less to maintain weight Path B: Consistent Training + Protein Lose 60 pounds (55 pounds fat, 5 pounds muscle) Metabolic rate maintained or only minimal decrease Body composition: Lean, defined appearance Long-term: Lower regain risk, can eat more to maintain weight Same scale result