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The article's proposed mechanism is that slowed gastric emptying and reduced intestinal motility impair the release of B12 from food proteins, an effect it says accumulates over months of therapy

Evidence-based levers that reliably move the needle: A sustainable calorie deficit with adequate protein Resistance training plus daily movement Sleep and stress management (often underestimated) Clinician-guided options when appropriate, including FDA-approved obesity medications (e.g., Wegovy and Zepbound ) and weight loss injections A good rule of thumb: don't outsource a fundamentals problem to an unproven tool

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