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While standard GLP-1s can sometimes cause lethargy due to reduced caloric intake, Tesofensine actively increases metabolic rate and often improves patient energy levels and focus

So why is it that up to 40% of patients can have a subclinical vitamin B12 deficiency

Acute stress depletes adrenal vitamin C within hours replenishing with 5002000 mg daily is especially important during periods of high stress

Lab testing may be recommended, but its not always required to begin treatment

Additionally, Crohns disease, Celiac disease, and gastric bypass surgery might also affect the absorption rate, thus contributing to the B12 deficiency