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Vitamin B12 deficiency results in megaloblastic anemia, GI lesions, and neurologic damage (which begins with an inability to produce myelin and is followed by gradual degeneration of the axon and nerve head)

Start by defining personal health and quality-of-life goals that go beyond just weight loss, such as more energy, better mobility, or improved metabolic health

Individual responses vary considerably, with some patients achieving dramatic results while others experience more modest weight reduction

But escalating before your body adapts does not produce faster results

(31307590) Labs: Transaminases peak 3-4 days after ingestion