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Make sure to eat foods rich in vitamin B12 every day

I dont think its something that is very concerning unless it becomes so bothersome that its worth getting off the meds and sacrificing the positive benefits. And that long list of positive benefits extends beyond weight loss

Sleep quality is the most reliable subjective marker of recovery

Because the therapeutic potential of supplemental coenzyme Q 10 is limited to its capacity to restore electron transfer in a defective mitochondrial respiratory chain and/or to increase antioxidant defense, patients with secondary coenzyme Q 10 deficiency may fail to respond to supplementation (see Disease Treatment)

Vitamin B12 deficiency can arise from various factors, including dietary deficiencies, malabsorption syndromes, or certain medical conditions

For the vast majority of participants, no significant euphoric effect or high is experienced from the medication, nor does the development of craving for the drug appear to occur