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As people age, they sometimes have trouble absorbing vitamin B12, even when taking pills by mouth, Dr

Liu J, Kosma V-M, Vnttinen T, Hydn-Granskog C, Voutilainen R

References Neelakantan H, Vance V, Wetzel MD, et al

These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

(2000) Insulin-like growth factor I and growth hormone (GH) treatment in GH-deficient humans: differential effects on protein, glucose, lipid, and calcium metabolism