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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

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Less-serious side effects may include headache, dizziness, leg pain, itching, or rash

Why Understanding the Original Anatomy Matters for Revision A revision is only effective when it corrects the specific anatomical change responsible for weight regain

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