Obese patients with higher BMIs are at higher risk for having vitamin B12 deficiency and weight loss may potentially worsen the B12 deficiency
But the exact incidence of chronic disease anemia is not known, possibly because its underreported and often goes unrecognized
Crucially, the obesity paradox is likely heavily confounded by two factors: (1) whether weight loss is intentional, and (2) the use of the BMI metric, which poorly reflects the contribution of body composition towards body weight in older adults [15, 34]
Additionally, certain foodssuch as asparagus, coffee, or foods high in sulphur compoundscan impart distinctive smells to urine, and these may become more apparent during periods of dietary change
10.1073/pnas.0610173104 [DOI] [PMC free article] [PubMed] [Google Scholar] 255.Davies M, Pieber TR, Hartoft-Nielsen ML, Hansen OKH, Jabbour S, Rosenstock J