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If your immune system is attacking the intrinsic factor protein, you've lost the ability to absorb B12 through your gut

Most providers consider staying at the lowest dose that produces adequate weight loss as the ideal strategy for long-term treatment sustainability

Supports Detoxification Helps remove toxins from the body, improving overall skin clarity and health

Comorbidities: Documentation of weight-related health conditions (high blood pressure, high cholesterol, sleep apnea, cardiovascular disease) that support the need for additional treatment

Full appetite suppression effects often become more noticeable by 4-8 weeks, as the body adjusts to the medication

Gastritis and Stomach Inflammation Gastritis is another big reason for melena