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You still need a caloric deficit

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Pre-existing inborn errors of sulfur-amino-acid metabolism (e.g., homocystinuria) represent an absolute contraindication because parenteral methionine can exacerbate elevated homocysteine concentrations and associated thrombotic risk

So, the assumption that the patient doesnt have B12 deficiency, because oral supplementation doesnt cure the patient is incorrect

As with humans, animals can also be deficient in this nutrient

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