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This approach works especially well during peak side effect periods when even looking at a plate of food feels overwhelming

That works until titration changes, side effects, and meal timing diverge, at which point patterns hide and anxiety grows

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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)