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And therein lies the problem: Some people don't consume enough vitamin B 12 to meet their needs, while others can't absorb enough, no matter how much they take in

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In routine Indian outpatient practice, the phenotype framework above is best used as a starting filter rather than a rigid algorithm: most patients present with overlapping features an obese patient with fatty liver and post-meal spikes, for instance and the choice of agent should weigh cost, injection tolerance, local drug availability, and comorbidity burden alongside the mechanistic fit