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Chandys hypothesis that a sudden influx of B12 can trigger repair processes

Yes, some patients do experience facial volume loss after rapid weight loss

May your B12 levels stay robust, your GLP-1 therapy stay effective, and your protocols stay evidence-based.

The clinical picture the alert describes is specific: abnormal liver function tests showing transaminitis with possible raised bilirubin and coagulopathy. In plain terms, the liver enzymes that leak into the blood when liver cells are dying were elevated, the pigment the liver is supposed to clear was building up, and the blood was losing its ability to clot, which is what happens when a liver stops making the proteins that hold clotting together

Circulation 127, 7485