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NICE guidance on obesity (CG189) and associated quality standards emphasise the importance of structured follow-up for patients who have undergone bariatric procedures, including regular nutritional blood tests and access to dietetic support

Conclusion Vitamin B12 injections are key for treating deficiency

Help for GP 1) PAS website has section for health professionals which your GP may find useful

NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure

Not a good option

This may show: Weakness when bending the knee Difficulty bending the foot inward or down Difficulty walking on your toes Difficulty bending forward or backward Abnormal or weak reflexes Loss of sensation or numbness Pain when lifting the leg straight up when you're lying on the exam table Tests are often not needed unless pain is severe or long-lasting