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If the cause is irreversible then parental therapy should be continued for life
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Research shows that low vitamin B12 levels are associated with obesity [4]
NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
Apply gentle pressure with a clean alcohol pad if any bleeding occurs (typically minimal to none)
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