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If someone is deficient in B12, they may experience quick fatigue due to irregularities in this conversion process

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NICE guidelines recommend evidence-based weight management through dietary modification (600 kcal/day deficit), 150300 minutes weekly moderate-intensity physical activity, and behavioural change strategies

The reduction in visceral fat was sustained over the study period, but the fat tended to return to baseline levels upon discontinuation of the therapy, indicating the need for ongoing treatment to maintain these benefits