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When used together, these medications offer dual appetite regulation with the potential for greater weight loss and metabolic improvements than either drug alone
Long-Term Safety : While early results are promising, long-term safety and tolerability remain under investigation
Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation
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