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Medication interactions : Certain medications, such as metformin and some heartburn drugs, can interfere with B vitamin absorption
Natural: Synthetic cyanocobalamin requires conversion in the liver to become active, which means some people may not absorb it efficiently
Quick dramatic changes more likely indicate inflammatory response than genuine improvement
Post-surgical recovery: Some undergo procedures like skin removal surgery after major weight loss
No clinical trials show glutathione produces meaningful weight loss comparable to semaglutide's 1522% body-weight reduction
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