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Symptoms that are severe, that involve the chest or breathing, or that last more than a few days are not normal and should be checked by a doctor

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Diets with low levels of protein and iron can also result in low vitamin B12 levels

Some report minor weight changes, but those are often linked to improved appetite from previously undernourished participants rather than targeted fat reduction

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Blood tests: B12, HbA1c (for diabetes), thyroid panel, and others as indicated