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Liu et al
Long-term untreated vegan diet where deficiency has progressed beyond what oral replacement can comfortably catch up

Month one is a foundation: the first weeks are about starting safely, learning the routine, and letting your provider fine-tune the plan

Rehydrate smarter

Patients consuming significantly fewer calories may not meet requirements for essential micronutrients, including B vitamins, iron, and vitamin D, all of which play crucial roles in energy metabolism

however, people are starting to see the benefits of B12 shots and use them as a treatment for fatigue and to improve their metabolism