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Diagnosis may involve MRI and EMG

Human studies have shown that PYY delays gastric emptying and promotes satiety (165), while short-term intravenous administration of PYY3-36 , at doses generating physiologic postprandial blood excursions, was shown to decrease calorie intake by approximately 30% in lean and obese subjects, without causing nausea, affecting food palatability, or altering fluid intake, nor was it followed by compensatory hyperphagia (166)

Regular monitoring through blood tests can help assess your B12 levels and adjust the frequency of injections as necessary

J Pediatr Endocrinol Metab

In certain regions of the world, marginal or subclinical vitamin B 12 deficiency may be fairly common in other age groups as well, including children, premenopausal women, and pregnant women, primarily due to low intake of animal-source foods (reviewed in 5)

Low vitamin B12 levels can result in fatigue, weakness, poor concentration, mood fluctuations, numbness, and even anemia if left unattended