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Low B12 can make you feel tired, foggy, and weak, which is the opposite of what you want during a weight loss program
Obesity, particularly in those with android body fat distribution, are at increased risk of NAFLD and disease progression and individuals with complications such as hypertension, knee osteoarthritis, or sleep apnea should also be screened for advanced liver disease
If these side effects persist or worsen, medical attention should be sought