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This results in: Reduced appetite and caloric intake Enhanced satiety between meals Elevated metabolic tone and mental energy Tesofensine acts centrally to suppress appetite by increasing monoaminergic neurotransmitter levels in the hypothalamus. Astrup, The Lancet What makes Tesofensine unique isnt just its effect on hunger it also elevates dopamine , which may improve mood, motivation, and drive during a cut

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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

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