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In my practice, even mildly overweight patients, including executives, celebrities, and other high-performing individuals, have shown dramatic gains: improved insulin sensitivity, normalized blood pressure and lipids, reversal of fatty-liver disease, sharper cognition, elevated mood and focus, improved emotional regulation, and even a reduced desire for alcoholoften within weeks and independent of the weight loss itself. Primas added that lifestyle integration remains critical

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And B12 has been specifically studied for its potential to reduce nausea associated with GLP-1 receptor agonists