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Detailed Initial Evaluation We begin our process with a thorough assessment of the patients current health, including their medical history, any existing conditions such as diabetes or thyroid disorders, personal habits, metabolic rate, weight, and personal objectives for weight loss

This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

Initial weight loss is 7 lbs with exercise and diet modification

A lot of people are mildly deficient without realizing it especially if they eat limited meat or have digestive absorption issues