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I have experienced several plateaus in my weight loss journey, and I chose to focus on making small adjustments and reminding myself that this is not a race. When you try everything you can to overcome a weight loss plateau and the numbers on the scale still wont budge after several weeks of effort, you have several options

Cumulative loss ~40 lbs Months 7-12 (12mg): Additional 12-18 lbs

Set Realistic Goals A doctor is more likely to prescribe a medication if they see you have a balanced perspective

If you have high homocysteine levels you are likely low in methylcobalamin