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An imbalanced gut microbiome, low-grade infections, or intestinal permeability (leaky gut) can contribute to systemic inflammation, poor nutrient absorption, and immune stress, all of which drain energy

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[23] [24] Intracellular vitamin B 12 is maintained in two active coenzymes, methylcobalamin and adenosylcobalamin

The review also notes a temporary worsening of diabetes-related retinopathy during rapid glycemic improvement, an increased aspiration risk from delayed gastric emptying, and the need to protect against nutritional deficiencies and loss of muscle or bone mass during rapid weight loss

Hydration: Maintain adequate hydration after taking whitening injections, before and after to support detoxification and improve skin hydration