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Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

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A qualified doctor can create a personalized synergistic plan and dosing schedule to ensure safety and achieve maximum results

These effects result in very significant weight loss (15-20% of initial body weight), i.e., of the same order of magnitude as that obtained by bariatric surgery

Those whose diets are more plant-based could be at risk for deficiency

Bodily introduction of any kind into humans or animals is strictly prohibited by law