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But that accelerated weight loss creates nutritional challenges that most prescribers never discuss

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Brett Osborn, a Florida neurosurgeon and longevity doctor who has prescribed pharmaceutical-grade versions of these medications since 2019, said he is "concerned" by this trend

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These patients warrant either baseline supplementation or at minimum testing b12 levels every 6 to 12 months during treatment to catch declining levels before deficiency develops

While not a miracle cure, it is a powerful tool for neurorehabilitation