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B12 supplementation supports energy and nerve function

Most information comes from patient forums and social media, where reports are mixed: some describe renewed appetite suppression on re-start, while others report weight gain during breaks and significant nausea on resuming previous doses, often requiring a full re-titration

Significant results are typically observed after 12 to 16 weeks, with continued improvements over the course of the treatment

These are not associated with the recurrent use of inappropriate compensatory behaviors seen in bulimia nervosa

Every time you increase the dose, the side effect cycle restarts