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Rely on Symptoms To quote NEQAS: In the event of any discordance between clinical findings of B12 deficiency and a normal B12 laboratory result, then treatment should not be delayed

Bibcode:2002PNAS...99.2356L

This hormonal imbalance adversely affects spermatogenesis, leading to decreased sperm count and motility

GSH is the most abundant endogenous antioxidant in the brain and plays an important role in counteracting oxidative stress (Lu, 2013

Of course, if this fat is hanging that also indicates loose skin - and for that you can sometimes see a small improvement in skin retraction just by taking away the weight of that fat hanging on it - but you may also need skin tightening or skin removal surgery to achieve your goals