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It's worth noting that higher doses may provide a better energy boost and encourage more weight loss in some patients

In fact, up to 88% of people on plant-based diets may lack adequate serum vitamin B12 levels

Monitoring Progress Effectively: Rather than relying solely on scale weight, which can be misleading due to muscle preservation and fluid fluctuations, comprehensive progress tracking should include body composition analysis (DEXA scan, bioelectrical impedance, or skinfold measurements), circumference measurements (waist, hips, thighs, arms), progress photos taken in consistent lighting and positioning, and subjective measures like energy levels, appetite patterns, and how clothing fits

investigators considered them unrelated, but no long-term oncology safety data exists)