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Pharmacological interventions such as orlistat or GLP-1 receptor agonists may be considered for patients with BMI 30 kg/m who have not achieved adequate weight loss through lifestyle measures alone

Scientific References Frequently Asked Questions Can I have B12 injections more frequently if symptoms return early

Deficiency causes megaloblastic anemia fewer, larger, less efficient red blood cells that carry less oxygen per cell

Methylcobalamin is the active form used directly in some metabolic cycles and is preferred by some

moderate evidence supports the use of capsaicin cream or a lidocaine patch as a second-line agent