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B12 is necessary for digestion, protein synthesis, absorption of foods and the metabolism of fat and carbohydrates

Stomach acid tends to decrease with age, which makes it harder to extract B12 from food

Patients should be counseled to monitor urine color (pale yellow indicating adequate hydration) and to increase fluid intake during exercise or hot weather

Start with 0.5 percent and increase to 1 or 2 percent if tolerance is good and results warrant intensification

But check for any cracks in the glass, particularly hairline fractures that might not be immediately visible

Some people report a temporary sensation of pressure or flushing if lipotropic therapy is administered too quickly