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According to the American Association of Clinical Endocrinologists and American College of Endocrinology (AACE/ACE) Obesity Clinical Practice Guidelines, obese patients receiving incretin-based therapies for weight loss should be monitored for the development of pancreatitis

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Doctors also dont check B12 levels during routine blood work as most of the time its stored in the liver with years of stock, or its symptoms may get confused with the symptoms of other conditions