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Those who attempt to shed pounds and maintain a healthy liver may benefit from this

I have more energy for my workouts

PMID 6124297

There is no clinical trial data specifically studying this approach, but some prescribers report anecdotally that patients maintain better long-term responses with periodic dose reductions

Patients should speak with their treating clinician about the current evidence, regulatory status, possible alternatives, and whether a treatment plan is appropriate for their medical history and goals

[3] Restrictive eating patterns , including certain weight-loss diets that severely limit food variety or total intake, may inadvertently reduce B12 consumption