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[6] [7] These injections have gained popularity in private wellness clinics, though they are not routinely prescribed within the NHS for weight management purposes

If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )

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Be careful when buying supplements, as they dont undergo FDA testing

In light of these comments, we intend to continue to evaluate and consider this issue in next year's rulemaking cycle