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However, therapeutic effects begin to diminish sooner, with blood glucose levels typically rising within 12 weeks of discontinuation

At the same time, hunger hormones such as ghrelin and leptin can become imbalanced, making hunger signals louder and satiety signals weaker

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Vitamin B12 contributes to the reduction of tiredness and fatigue as well as possessing a role in the process of cell division

Omeprazole can reduce the absorption of vitamin B12

Medically reviewed by the Acbadem International Medical Board July 16, 2026 L carnitine is a naturally occurring compound that helps the body transport fatty acids into cells to produce energy