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To gauge improvement, track specific issues you had before, for instance, frequency of mouth sores (which can occur with B deficiencies), or numbness in feet, or level of fatigue on a 10-point scale

We do not recommend B12 injections unless a true deficiency is present, in line with current medical guidelines

Without moderation and a healthy balanced diet, people that drink large amounts of alcohol can become vitamin B12 deficient

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Alternative options include metformin, orlistat, structured lifestyle programmes, and bariatric surgery for those meeting specific criteria or unable to access injectable medications