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Dietary Deficiency: Long-term lack of vitamin B12-rich foods like meat, dairy, and eggs

Bupropion increases dopamine activity and POMC neuronal activation, thereby reducing appetite and increasing energy expenditure (54)

The vitamin B12 is included to help prevent the B12 deficiency that GLP-1 medications can sometimes cause through reduced food intake and altered gastric acid production

The Nutrition Source

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Track progress through multiple metrics: scale weight (understanding water fluctuations affect this), body measurements at consistent points, progress photos in consistent lighting and posture, and subjective assessments of how clothing fits