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Key factors influencing whether weight loss injections may be appropriate include: Disease activity : Patients in stable remission may be better candidates than those experiencing active flares Location and extent of disease : Individuals with upper gastrointestinal or extensive small bowel involvement may face greater risks Presence of complications : Strictures, fistulas, or previous bowel resections may increase the risk of adverse effects Current medication regimen : While there are no known direct pharmacokinetic interactions with immunosuppressants or biologics, monitoring for overlapping gastrointestinal symptoms is important Nutritional status : Patients already experiencing malnutrition or deficiencies may not be suitable candidates NICE guidance on obesity management acknowledges that certain medical conditions require specialist input when considering pharmacological weight loss interventions

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This is because their bodies make less of a key helper for B12 and absorb it less well

A Canned tuna also contains a decent amount of vitamin B12