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Spencer Nadolsky, an obesity medicine physician, tells Yahoo Life

Moreover, it regulates cardiovascular function, glucose concentration, gut motility, immune function, neuronal physiology and repair, appetite, and energy expenditure, and therefore impacts on body mass control [3]

[24] One of the pathways involves the use of the B vitamins, while the other one uses trimethylglycine (betaine) to help with metabolizing homocysteine

Common effects include gastrointestinal symptoms (nausea, diarrhoea)

Instead, your healthcare provider will evaluate your current dose, how long youve been on treatment, and the specific medication youre switching to in order to maintain its benefits while reducing risks