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Many patients experience B12 deficiencies due to dietary restrictions, absorption conditions, or underlying health issues leading to symptoms such as fatigue, brain fog, and low energy

Post-surgery, these individuals may still be clinically overweight or obese even after treatment as shown in a 6-year follow up trial of sleeve gastrectomy patients, mean BMI was 39 (obese class II) but micronutrient deficiencies were extensive

Individuals were also ineligible if they had any contraindications to study treatment or if, in the opinion of the investigator, they had any other medical condition, clinically significant laboratory result or electrocardiogram findings that may compromise safety or compliance, preclude the participant from successful study completion or interfere with interpretation of results

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What we are looking for as endocrinologists is pathologic cortisol excess that would typically be attributed to a tumor either in the adrenal gland or the pituitary gland. What hormone conditions might prevent me from taking weight loss drugs

Test results are documented and traceable to the specific batch supplied