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Whilst gastrointestinal side effects (particularly with high-fat meals) are common, orlistat has a well-established safety profile and can produce modest weight loss (typically 2-3 kg more than diet and exercise alone over one year)

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The most abundant genus was Ileibacterium , a relatively novel genus of the Firmicutes phylum 48

Munib may recommend bloodwork to confirm deficiency and establish baseline levels, though testing isn't always necessary for patients with clear symptoms or known absorption issues

When selecting a MIC B12 supplement, it's crucial to consider factors such as quality, third-party testing, and certifications