Sustained success requires integration with comprehensive lifestyle modification, including individualized nutrition plans, regular physical activity, behavioral counseling and ongoing clinician support
Unfortunately, with bariatric surgery representing a notable exception, most conventional weight loss modalities (dietary- and physical activity-based interventions) are found to provide highly patient-specific, short-term weight benefits that rarely persist for more than a few months and may involve significant alternations to patients' daily routines
How Cannabis Works in the Body Cannabis affects the body mainly through the endocannabinoid system
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monitoring may be required Polycythemia vera: Correcting B12 deficiency may unmask underlying polycythemia Masking folate deficiency: B12 supplementation can mask the hematologic signs of folate deficiency while allowing neurological damage to progress Allergic reactions: Rare hypersensitivity reactions have been reported, including anaphylactic shock with cyanocobalamin Common Side Effects Mild diarrhea Injection site reactions: pain, swelling, itching Feeling of generalized body swelling Mild headache Temporary reddish urine (normal B12 is water-soluble and excreted) Seek Medical Attention For Signs of serious allergic reaction: rash, hives, facial swelling, difficulty breathing Chest pain or irregular heartbeat Signs of low potassium: muscle cramps, weakness, irregular heartbeat Vision changes (especially if you have Lebers disease) Drug Interactions Chloramphenicol: May antagonize the hematopoietic response to B12 Metformin, proton pump inhibitors, H2 blockers: Can reduce B12 absorption (these are reasons to use injectable B12 instead of oral) Nitrous oxide: Can inactivate B12 in the body Use in Pregnancy and Breastfeeding B12 is generally considered safe during pregnancy and breastfeeding when used at appropriate doses
