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Fatigue or Activity Intolerance are often top priorities due to reduced oxygen delivery

What to Expect in Month 3 Nausea improvement: Drops from constant/frequent to occasional/rare for most patients Energy returns: As your body adjusts to new eating patterns and medication Appetite normalization: Still suppressed (therapeutic effect) but more predictable Weight loss becomes visible: Average 8-10% by week 12, friends and family notice Confidence builds: Youve survived the worst, know you can continue 4 Strategies for Month 3 11

In separate studies, 4PY was shown to directly promote vascular inflammation, which is a critical enabling step in cardiovascular disease. Niacin has also long been the subject of debate around its effectiveness and safety because its associated with other serious side effects, like increasing the risk of diabetes

Please do feel free to ask to view your practitioners full certificate when you are in clinic.