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Here we provide a brief overview of the latter mechanisms related to the molecular control of appetite, as these are likely the key drivers in the drastic weight loss seen with this drug

McTiernan adds

Because B-12 is charged with keeping your nerve and blood cells healthy, people with vitamin B-12 deficiencies might feel weak and tired, and they may experience more serious symptoms like heart palpitations, loss of balance, numbness, confusion, and poor memory