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If any of these are present, a shortage of B12 should urgently be considered as a cause

The patient has been advised of dietary modifications and is currently on Vitamin B12 tablets (1500 mcg)
Ultimately, the goal is to find a balance between achieving significant weight loss and maintaining a good quality of life

B12 injections deliver hydroxocobalamin (the preferred formulation in the UK) or cyanocobalamin directly into muscle tissue, bypassing the gastrointestinal tract to ensure rapid absorption into the bloodstream
