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Clements RS et al
If a sluggish metabolism is holding you back, consider B12 shots to complement your other weight management strategies
Vitamin B12 is crucial for the synthesis of myelin, a protective sheath that covers nerve fibers
Qsymia, approved in 2012, combines an old stimulant, phentermine, with topiramate, an anticonvulsant medication
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The metabolism and clearance of both components may be affected by significant liver disease, and patients with severe hepatic impairment should be monitored closely if treatment is deemed necessary
It does not cause any symptoms in itself
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