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Vitamin B6 deficiency also can cause anemia

[22] Some of these metabolic improvements may occur partly independently of weight loss, as suggested by mediation analyses from cardiovascular outcome trials, potentially reflecting effects on insulin sensitivity and vascular health that may be relevant for patients with obesity-related comorbidities like sleep apnea

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Maintaining some level of medication, even at reduced frequency, may help prevent this rebound

Eating too many of these foods can make it much more difficult to see noticeable, consistent progress