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Additionally, the psychological adjustment to a thinner body image and changed eating habits may trigger anxiety in some individuals, particularly those with a history of disordered eating or mood disorders

Youll start eating less as a result, and eventually lose around a pound per week

Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

If you've only recently started Topamax, give it about one to two months to take effect before reevaluating your weight loss results

Feeling the effects: Youll usually start to feel the energizing effects of a B12 shot within a short time, often within minutes or an hour