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The 6-month wait is outdated and harmful : Current guidelines requiring 6 months of behavioral therapy before medication lead to high dropout rates (53-70% of early non-responders fail to achieve 5% weight loss) and treatment abandonment

Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

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That is approaching bariatric surgery territory without the scalpel

Oral contraceptive use and breast cancer in young women in Sweden (letter)