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Changes associated with the epigenetic, antioxidant, and immune mechanisms are slower to manifest and are best assessed through follow-up body composition and lab data rather than subjective experience alone

This happens because rapid fat loss also reduces the deep support structures under the skin

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The median cord blood vitamin B 12 level was 555 pmol/L (752 ng/L) in the supplemented group and 208 pmol/L (282 ng/L) in the placebo group