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Its not clear that this would be as effective in people who werent so obese, Felson said, noting that people with lower BMIs may not see as extreme results.

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Groups at higher risk include older adults, people with kidney disease, people with autoimmune conditions, heavy alcohol consumers, and people taking certain medications that deplete B6 stores (including some oral contraceptives and isoniazid)

In states like Florida and Texas, NPs must practice within their certified population focus (florida.public.law)