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Heffernan, M

Vitamin B12 deficiency can cause fatigue, weakness, anemia, and dizziness

It is class-wide counter-regulation: stopping removes the signal that was holding down a set-point the body still defends. The felt marker of the rebound is the return of food noise, which patients in the exit interviews reported as the first sign the loss was reversing. Metabolic loss tracks weight regain

Immune modulation: KPV modulates the immune response without suppressing it it reduces excessive inflammation while preserving the body's defense capacity

The NICE Guideline NG239 (2024) and the AAFP clinical review both support this approach