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Alm de ter efeitos especficos no sistema nervoso central, principalmente nas reas relacionadas regulao do apetite e clulas de gordura

That said, its important to note that research indicates these side effects are rare, happening in less than one percent of those taking the medication

Bariatric surgeons may consider gastric bypass for patients with: BMI 40 kg/m regardless of diabetes severity BMI 3539.9 kg/m with poorly controlled type 2 diabetes or obesity-related diseases BMI 3034.9 kg/m in selected cases with severe, difficult-to-control diabetes It is typically considered when diabetes remains uncontrolled despite medications, insulin resistance is severe, or long-term metabolic control is not achievable through lifestyle treatment alone

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Those who cannot absorb B12 adequately from food require supplementation

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