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Ensure you are getting 7-9 hours of quality sleep each night, as poor sleep can negatively impact metabolism and weight

[6] Blood tests may show fewer but larger red blood cells, low numbers of young red blood cells, low levels of vitamin B 12 , and antibodies to intrinsic factor

It can be difficult to find this one in supplement form but Adenosylcobalamin supplements do exist mostly in liquid form

Thats not the same as FDA approval , but it would mean that pharmacies could compound them with a doctors prescription