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Tatiana Lapa, an aesthetic doctor and founder of Drs Tatiana + Rishi Advanced Aesthetics, says your skin can be one of the indicators of a B12 deficiency: Symptoms might include a pale or jaundiced appearance, and in more severe cases, individuals might develop hyperpigmentation or a rash

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These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

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Experimental & Molecular Medicine

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It depends on your levels and symptoms

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