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400 international units of vitamin E

reported a significant reduction (SMD 0.36 kg), though this effect also weakened after one year [13]

Some women report delayed ovulation or longer cycles during active weight loss, which could temporarily reduce fertility

B vitamins also support normal brain and nerve function

Should clinicians consider amylase/lipase trends alongside patient-reported symptoms, especially in those with risk factors like a history of gallstones or alcohol use