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Regarding plasma B12 - this is not the case, serum B12 often remains highly elevated (well over the normal range) even while symptoms return - this is why testing B12 once treatment begins is not recommended

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Humectants and Hydrators: Hyaluronic acid powder (0.51%), panthenol (25%), or sodium PCA (23%) boost hydration and skin feel

While these side effects can be uncomfortable, many patients find that the weight loss benefits outweigh these temporary discomforts