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Deficiency of Vitamin B12 can affect the fertility of both and affect the reproductive systems of either in a similar manner

These metabolic shifts increase energy expenditure, suppress lipogenesis, and rejuvenate muscle stem cell function, providing a unique mechanism for combating obesity, fatty liver, and age-related muscle decline 1-3

None of these is a footnote each is a reason a real prescribing decision would require individual medical assessment rather than a generic protocol

The Hidden Crisis of B12 Depletion in Modern Life Vitamin B12 , scientifically known as cobalamin , serves as a fundamental building block for Red Blood cell formation, neurological function, and energy metabolism

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