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28-day and 40-day cycles HCG is only effective for limited periods, as the body will get used to injections over time, and weight loss will stagnate

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Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12

Immediate veterinary consultation is crucial to diagnose underlying issues and prescribe appropriate medicine