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Have you tried B12 injections/shots

GLP-1 agonists have the highest regain rate after discontinuation because the appetite suppression effect disappears, leading many people to regain 60-70% of lost weight within a year

The neurological consequences of untreated B12 deficiency can be serious and potentially permanent, including subacute combined degeneration of the spinal cord, which affects both sensory and motor pathways