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That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12

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Physician Supervised = Safer, More Effective This approach includes: Detailed health assessments Customized protocols Follow-up evaluations Lab testing (when needed) This ensures every patient receives tailored, safe, and evidence-based treatment

Because it does not rely on appetite suppression, it is an excellent intervention for patients who are already eating clean, hypocaloric diets but remain unable to alter their body composition