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Staying informed: Following emerging research on long-term effects

Orexins and orexin receptors: a family of hypothalamic neuropeptides and G protein-coupled receptors that regulate feeding behavior

This approach provides convenient access to care while maintaining proper medical oversight

NICE guidelines recommend hydroxocobalamin 1 mg intramuscularly three times weekly for 2 weeks (without neurological involvement) or on alternate days until no further improvement (with neurological symptoms)

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Annual blood tests including serum B12, full blood count, ferritin, vitamin D, and folate are recommended as a minimum for long-term post-bariatric monitoring