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[1] Don't purchase over-the-counter B12 supplements without medical guidance, as this can interfere with accurate assessment and may mask underlying conditions

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

Can I combine the MIC-B12 Injection with other treatments

If reconstituted, follow lab SOP for temperature and stability Handling: Use appropriate personal protective equipment

[9] If you do feel flush or itchy, it should be mild and short-lived

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