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I can appreciate the reasoning for not doing a B12 assay when checking her ferritin [or whatever iron indicator] but checking B12, Folate and Ferritin at the outset is probably wisest

Conflicts of interest All authors declared that there are no conflicts of interest

If the underlying habits never change, or if the treatment is approached as a temporary crash fix, weight regain becomes more likely

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After 4 to 6 weeks, review the data