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Six months after surgery, waist circumference, leptin levels and MSNA were reduced in the surgery group, which persisted 12 months after surgery (Seravalle et al., 2014)
Another two-year study of 500 type 2 diabetes patients showed 15% experienced decreased B12 levels, with 5% developing outright deficiency
According to Harvard Health, B12 deficiency can be sneaky and harmful often developing silently over years before symptoms become apparent
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Spicy Foods If a patient has baseline acid reflux, any foods that exacerbate the condition may be more likely to exacerbate reflux on GLP-1s because the medications delay gastric emptying and can cause acid reflux, Levy says
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