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To those who are still bleating that we should keep trying diet and exercise before resorting to use of anti obesity medications or that we can maintain long term weight loss effected by use of medication by ceasing medication and relying on diet and exercise alone- please look up all the research which shows that lifestyle intervention alone can only effect 5-7% weight loss and this weight will also be regained in the next year or two

Because standard gastrointestinal absorption of B12 is highly complex and easily disrupted by age, low stomach acid, medications, and chronic inflammation, therapeutic dosing often needs to be significantly higher than the standard Recommended Daily Allowance (RDA) of 2.4 mcg

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