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This is a harmless effect, but by inhibiting the skin from forming new melanin, we can stop the forming of new dark spots in patients with melasma

Patients experiencing nausea, early satiety, or food aversions may inadvertently reduce their consumption of these B12-rich foods, potentially leading to deficiency over time

The Subclinical Deficiency Problem The published incidence figures usually define deficiency as a serum B12 result falling below a defined cutoff

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Both gastric sleeve surgery and weight loss injections aim to achieve sustained weight reduction and improve metabolic health, though they operate through different mechanisms

It is for this reason that the latter is not routinely available on the NHS and hydroxocobalamin is the preferred treatment