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Rather than manipulating hormones, suppressing appetite, or artificially stimulating the nervous system, it works at the level of basic cellular energy production and storage
They are used as an adjunct within supervised medical weight-loss programmes, not as a standalone treatment
To sum up, some patients report the worsening of symptoms within the first few days or weeks when they begin B12 shots
As with headache, distinguishing treatment-related fatigue from background symptoms in obese populations with potential sleep disorders presents methodological challenges
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