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An elevated serum vitamin B12 is easy to misread, because the test was built primarily to detect the opposite problem

It counteracts both dopamine deficiency and excess, receptor blockade and overstimulation, neuronal destruction and vesicle depletion, all at the same dose range

Tips for Success Before and during medication use: Stay upright for at least 2 hours after eatingno lying down right away Eat slowly: chew each bite well or sip water between bites Avoid skipping meals or going long hours without eating Drink at least 64 oz of water daily before adding more protein or fiber Start a fiber supplement 1 week before your medication (aim for 10g/day using options like Benefiber, Metamucil, keto bread, flax or chia seeds) If you feel constipated, try 2 tablespoons of magnesium citrate daily while increasing fiber Focus on a high-protein diet and include resistance exercises like weight training If youre using injectable weight loss medications: Let your provider know if you notice any changes in your vision Check your neck regularly for any lumps or nodules Wear sunscreen every day to protect your skin Use reliable birth controloral pills may not work as well during treatment Vitamin and Mineral Supplementation Your provider may recommend taking additional vitamins and minerals while using weight loss medications

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