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Two popular options stand out: B12 injections and IV drips

Where appropriate, referral to a specialist Tier 3 weight-management service may also be considered

[11] Long-term metformin therapy reduces calcium-dependent intrinsic-factor binding, lowering B12 absorption and potentially necessitating higher or more frequent parenteral doses

Individuals with significant stubborn fat deposits, particularly visceral abdominal fat, may benefit disproportionately

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