Consequently, it is offered as a wellness supplement to support general energy and vitality, and is not appropriate for anyone with a diagnosed B12 deficiency, who should seek GP management
Severe caloric restriction even when unintentionalcan lead to loss of lean muscle mass, nutritional deficiencies, fatigue, and metabolic adaptations that may ultimately hinder long-term health outcomes
Therefore, significant weight reduction through semaglutide may lower estrogen levels in some patients, potentially impacting those reliant on a stable estrogen balance, such as postmenopausal women or individuals undergoing estrogen-based HRT
Reference lists of key reviews and included studies were manually screened to capture any additional eligible articles
By combining these therapies with guidance on nutrition, exercise, and healthy habits, we help patients reach their weight management goals safely and effectively
10.3906/biy-1408-16 79 KarasawaT.SteygerP
