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Arch Gen Psychiatry 44 : 660669
Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management
Alcohol also provides empty calories that work against the weight loss goal, and the impaired judgment from intoxication can lead to dietary decisions that undermine the protocol
These are powerful mechanisms, but they both operate on the "input" side of the energy balance equation
Williamson, T
That bar is not theoretical, and it is not impossible, which is the whole point of holding these compounds to it
