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Even at the lowest maintenance dose of 5 mg, approximately 85% of participants lost at least 5% of their body weight

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Procedures like gastric bypass or sleeve gastrectomy permanently alter the stomach anatomy, reducing intrinsic factor production and the surface area available for B12 absorption

The physician evaluates the patient, confirms musculoskeletal etiology without red flag symptoms, and administers an IM ketorolac injection

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