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Because water-soluble vitamins like vitamin B12 are regulated by the kidneys, any excess that your body doesnt need will be excreted in your urine

Additional tests including full blood count, mean corpuscular volume (MCV), and potentially methylmalonic acid or homocysteine levels may be requested to confirm deficiency and assess its severity

NICE-approved weight management interventions include: Dietary and lifestyle modification first-line approach for all patients Orlistat licensed medication for obesity (BMI 30 or 28 with comorbidities) GLP-1 receptor agonists including semaglutide (Wegovy) per NICE TA875 and liraglutide (Saxenda) with restrictions per NICE TA664, for specific patient groups Bariatric surgery for severe obesity meeting strict criteria The NHS emphasises that sustainable weight loss requires behavioural change, nutritional education, and increased physical activity

if you are busy or forgetful, injections may be easier to keep up

Just taking large amounts of B12 supplements does not mean that your body will be able to use all of it