Another point to keep in mind is that most patients will not have any weight loss during the first 4-5 weeks as you become accustomed to the medication, prior to increasing your dose
Its been shown to be effective for weight loss in several clinical trials
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However, a high result can indicate either B12 deficiency, or folate deficiency, or something in the persons genetic make-up
This delay can cause food to stay in the stomach longer, leading to increased pressure on the lower esophageal sphincter (LES), the muscle that keeps stomach acid from moving up into the esophagus