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Her weight-loss program employs tools including FDA-approved appetite suppressants, vitamin B12 shots, and dieting to help participants slim down

Clinically they manifest as muscle stiffness and twitching
Clinically the first sign of deficiency is anaemia

Al-Hujaily EM, Oldham RAA, Hari P, Medin JA

People often quote first, do no harm as being part of the doctors oath but you might be surprised to learn that the oath doesnt actually say that