It slows digestion, reduces hunger, and helps you feel full longer, making it easier to eat less and lose weight
Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease
Many patients continue treatment to maintain results, with periodic reviews to adjust dosing and confirm the plan still fits
This overgrowth can disrupt normal digestion and absorption, leading to various gastrointestinal symptoms
If cravings are occurring daily, are triggered by anxiety or depression that has never been properly treated, or are connected to a pattern of drinking that feels outside your control, food-based strategies alone may not be sufficient
Julian, C
