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For patients seeking weight loss who request B12 injections, GPs should: Assess for genuine deficiency through appropriate blood tests rather than empirical treatment Provide education about the lack of evidence supporting B12 for weight loss in non-deficient individuals Explore underlying concerns about weight and energy levels, addressing these through appropriate channels Signpost to evidence-based resources such as NHS weight management services according to local pathways Patients should contact their GP if they experience unexplained fatigue, neurological symptoms (numbness, tingling, balance problems), or signs of anaemia (pallor, breathlessness, palpitations), as these may indicate B12 deficiency requiring investigation

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Some studies have found that supplementing estrogen levels can lead to B-vitamin deficiencies

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Learn more Location: Yogyakarta UCP Roda Untuk Kemanusiaan (UCPRUK) is a non-profit and independent organization that focuses on fulfilling the rights of people with disabilities in Indonesia, especially the right to mobility aids

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10.1016/j.pupt.2017.08.002 251

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