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Moreover, certain medications, including metformin, proton pump inhibitors, and antacids may also reduce your bodys ability to absorb vitamin B12 from your diet (1, summary Vitamin B12 deficiency can manifest itself through a variety of symptoms

Tesofensine primarily works by inhibiting the reuptake of neurotransmitters like dopamine, norepinephrine, and serotonin in the brain, leading to appetite suppression

I felt like I wasn't going to make it through the next hour before starting b12 and then had severe side effects for a few weeks or so

However, maintaining adequate protein intake and exercising regularly helps preserve lean mass

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