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As well as from poor diet and digestion, vitamin B12 deficiencies can also be affected by a genetic condition such as: o Pernicious anaemia o Crohns disease o Treatment with proton-pump inhibitors o Atrophic gastritis o Coeliac disease o Use of antacids (acid is required to release B12 from food) o Gastrointestinal surgery o Use of certain medications o Use of illegal drugs and substances including nitrous oxide
They can adjust your treatment plan, provide dietary guidance, prescribe iron supplementation if needed, and ensure that weight loss is achieved safely
For those considering GLP-1 therapy who have a history of depression , discuss this openly with your prescriber
2019;21(Suppl 1):72-81
This disorder arises from impaired lymphatic drainage due to either congenital abnormalities (primary lymphedema) or acquired damage to the lymphatic system (secondary lymphedema)
We begin you on the lowest dosage and will gradually increase it to the target one to maximize your chances of the best outcome while minimizing your risk of side effects
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