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PPIs don't address mucosal healing, H2 blockers have weaker acid control, and prokinetic agents carry cardiac risks

Correcting B12 changes your metabolism and nervous-system signalling, and that adjustment itself can feel like tiredness, lightheadedness or a vague off feeling before things settle

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When dietary choline intake is insufficient (common in calorie-restricted diets), hepatic fat export slows, leading to non-alcoholic fatty liver accumulation even during active weight loss

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Avoid initial stimulants