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For patients experiencing mild to moderate GI symptoms, initial management should focus on non-pharmacological interventions, including smaller and more frequent meals, avoidance of high-fat or spicy foods, cessation of eating upon early satiety, and adequate hydration and fiber intake

doi: 10.1016/0024-3205(89)90293-2 39

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[3] Dosing of hydroxocobalamin should be individualized based on the severity of vitamin B deficiency and clinical response

As eating habits change, people often see improvements in blood sugar, cholesterol, mobility and energy before major weight changes show up