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Some people find they lose more weight when adding B12, especially if they had a B12 deficiency before starting

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Without consistent, correctly formulated supplementation, patients face a genuine risk of developing deficiencies in vitamin B12, iron, vitamin D, calcium, and folate, with consequences ranging from anaemia and bone loss to serious neurological complications

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For iron deficiency anaemia in pregnancy (a related issue), they have stated that it is not clear if pregnant women with mild to moderate IDA will benefit from treatment and theres a lack of evidence on benefits and harms associated with screening. Similar reasoning might apply to B12 deficiency in the absence of strong evidence of benefit from routine screening