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59% had a decreased vitamin B12 level
[1] The consequences of untreated deficiency far outweigh the inconvenience of mild, manageable gastrointestinal symptoms
You may feel a gentle lift in energy or clarity shortly afteror experience benefits more gradually over a few sessions
However, the results do not clearly show a consistent fat-loss effect in people
The rationale is that the two medications work through completely different mechanisms, phentermine through norepinephrine release and semaglutide through GLP-1 receptor activation, so they could theoretically complement each other
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