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Excipients such as sorbitol, mannitol (sugar alcohols), lactose (in those with intolerance), and various binding agents or fillers may contribute to gastrointestinal symptoms
These reactions typically resolve within 24-48 hours
This equates to a weight loss of 1020 pounds for a 200 pound person.Everyone is different though and the most successful patients also work hard to make diet and lifestyle changes
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That means you cant absorb enough vitamin B12 from food
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