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In one study, one-third to two-thirds of the weight lost using lifestyle interventions was regained within 1 year following the end of treatment, and greater than 95% of the weight was regained within 5 years

doi: 10.1186/s13045-023-01498-2 66 SnaebjornssonMTJanaki-RamanSSchulzeA

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61 In practice, some patients may be able to switch to very high dose (ie, 2000 mcg daily) oral supplementation instead of continuing parenteral administration, but it is impossible to predict in whom this can be done safely, and many are at risk of worsening symptoms which may become permanent