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B12 inclusion addresses the nutritional component of fatigue but does not fully prevent the physiological adaptation period

The need for indefinite medication continuation to maintain weight loss, along with associated costs and potential long-term safety concerns, must be factored into treatment decisions

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The 10-Day Lima Cusco Puno package is a comprehensive experience that starts in Lima, continues through Ica (Huacachina), moves on to Puno (Lake Titicaca), and ends in Cusco with Machu Picchu