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Anyone can be affected, but some groups are more at risk: Vegetarians and vegans, since B12 mainly comes from animal products Older adults, as absorption gets harder with age People with digestive issues like Crohns or coeliac disease Those taking certain medications, such as long-term metformin or stomach acid reducers People with pernicious anaemia, an autoimmune condition that stops you from absorbing B12 If you fit into one of these categories and notice symptoms, its worth getting your levels checked

A statistically significant improvement of lipid profile, glycemic control, and waist circumference in the phentermine/topiramate ER groups was reported (86)

In this study, overall mean weight loss in patients known to be persistent on liraglutide 3.0 mg was reported to be 6.3% at 4 months after initiation, 7.1% at 6 months after initiation, and 6.5% at 6 months for all subjects regardless of persistence [39]

Some patients may also experience temporary numbness or hardness in the treated area