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This is problematic because muscle mass contributes to metabolic rate, functional capacity, and long-term health

Vitamin B12 deficiency is also more prevalent in older individuals, affecting approximately one in 10 people aged 75 or above and one in 20 people aged 65 to 74, according to NHS data

This binding triggers a cascade of effects: delayed gastric emptying, reduced glucagon secretion, enhanced insulin sensitivity, and most importantly for weight loss, decreased food intake through central appetite suppression (Wilding et al., NEJM, 2021)

Patients should be advised to monitor the nodules for any changes in size, pain, or appearance