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This category has the lowest evidence base but also the lowest barriers to access
If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)
Some offer packages or payment plans to make care accessible
The concept of dose stepping, using a higher dose for initial weight loss and then transitioning to a lower dose for maintenance, could become the standard treatment paradigm if the data supports it
doi:10.3389/fimmu.2021.579140 Note: Originally published in March 2015, this article has been revised and updated for accuracy and thoroughness.
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