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It is also important to be aware that slowed gastric emptying can affect the absorption of some oral medicines, particularly those with a narrow therapeutic index (for example, certain thyroid medications or anticoagulants)

According to the National Institute of Diabetes and Digestive and Kidney Diseases, adults who are overweight or obese should lose 5% to 10% of their body weight within 6 months for weight loss success and better outcomes (12)

If correct, this introduces another possible point of contamination and means the photograph attached to the report cant establish the condition in which the seller originally supplied the product

Research is absolutely needed but unfortunately many have presumptions based on how they think it works which seems to be very different for many with b12 deficiency