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Front Biosci 2012;S4:1172-89
Some people with pernicious anemia can get enough B 12 into their systems by taking doses of 1 to 2 milligrams in pill form
Also, vitamin B12 deficiency tends to come on very slowly, so people often go through a long period of being mildly deficient
However, when anaphylaxis occurs, the immune system overreacts to substances in a way that causes a full allergic body reaction
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Pharmacological interventions such as orlistat or GLP-1 receptor agonists may be considered for patients with BMI 30 kg/m who have not achieved adequate weight loss through lifestyle measures alone
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