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For many patients, the challenge is not just the number on the scale it is the cycle of fatigue, reduced activity, fluid retention, and discouragement that can make healthy habits feel less effective, which is why treating thyroid disease well and considering additional weight-loss support when appropriate can both matter

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Also, patients should be warned about the danger of taking folic acid in place of vitamin B12, because the former may prevent anemia but allow progression of subacute combined degeneration