Most individuals with raised serum B12 remain asymptomatic, and the elevation serves primarily as a biochemical marker that may warrant further investigation
Not misusing nitrous oxide
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Patients should seek urgent same-day assessment if they develop any new neurological symptoms, as subacute combined degeneration of the spinal cord a serious but preventable complication of prolonged B12 deficiency requires immediate treatment
The liver processes fat more efficiently, the body mobilizes stored fat more readily during exercise, and overall metabolic function improves over time
NICE guidelines for weight management emphasise evidence-based interventions including dietary modification, increased physical activity, behavioural therapy, and in appropriate cases, pharmacological treatments (such as orlistat or semaglutide) or bariatric surgery