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Taking B12 supplements with meals, adjusting doses, or switching formulations can significantly reduce stomach discomfort

Include healthy fats in moderation to support steady energy and fullness

Retatrutide and cagrilintide are investigational drugs without FDA approval

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This is a unique challenge in obesity medicine and highlights the need for policies that improve equitable access to safe, evidence-based treatments so that clinical decisions are driven by what is best for the patient, not by cost or availability. Messiah concludes that ultimately, obesity is a chronic disease that deserves the same evidence-based, individualized, and compassionate treatment that is provided for other chronic medical conditions