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I can trace my symptoms back over 40 years though as you say - they did rather snow ball in the last few years

National Library of Medicine: Vitamin B12 Deficiency Obesity Science and Practice: Inositol supplementation and body mass index: A systematic review and meta-analysis of randomized clinical trials Annual Review of Nutrition: Choline and Human Nutrition

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gastric bypass) Take medications like metformin or PPIs that affect B12 absorption Feel persistently fatigued or mentally foggy Our team can help assess your symptoms and provide Vitamin B12 injections safely even without a GP referral