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It recommends checking serum B12 alongside methylmalonic acid before treatment begins, so there is a baseline to compare against later

Contrave is a prescription combination of naltrexone and bupropion that targets two areas of the brain involved in appetite and cravings: Bupropion activates neurons in the hypothalamus that naturally suppress appetite -Naltrexone blocks the brains counter-signal that would normally mute that appetite suppression Together, they keep the appetite-reducing effect switched on longer than either drug achieves alone The result is a reduction in food cravings, less reward-seeking behavior around eating, and for many patients, a quieter mental relationship with food without relying on stimulants or gut hormone changes.Heres the key mechanism: the hypothalamus is the part of your brain that regulates appetite and energy balance

Wang F, Chen HW, Li QT, Wei W, Li W, Zhang WK, et al

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