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Vitamin B12 deficiency that is allowed to progress for longer than three months may produce permanent degenerative lesions of the spinal cord

Providers advise vegetarians and vegans to take at least 10 mcg per day , or at least 2,000 mcg once per week

But there is no reason to believe Botox would or could cause weight gain at this time
Having said that some patients do get a paradoxical response to B12 and present with fatigue, headaches, and flu-like symptoms

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