it is not part of NICE-recommended obesity treatment pathways
You should contact your GP or NHS 111 if you experience: Persistent diarrhoea lasting more than 7 days in otherwise healthy adults Blood or mucus in stools , which may indicate inflammatory bowel disease or infection Severe abdominal pain or cramping that is worsening or different from previous digestive symptoms Unexplained weight loss alongside bowel changes Signs of allergic reaction , including rash, itching, swelling, or difficulty breathing (call 999 or go to A&E for severe reactions) Neurological symptoms such as numbness, tingling, balance problems, or memory difficulties, which may indicate B12 deficiency is not being adequately treated Seek help sooner if you have red flag symptoms, are pregnant, immunosuppressed, elderly, or have significant underlying health conditions
Our Educators Guide to Cobalamin E (CblE) and Cobalamin G (CblG) is designed to spring-board that discussion between you, the school nurse and classroom teacher(s)
Several conditions could lead to B12 deficiency, such as: Inflammatory bowel disease (IBD) Pancreatitis Gastrointestinal lymphoma Liver disease Hyperthyroidism Once the cause of your pets symptoms is determined, your veterinarian can recommend a treatment plan, which may include B12 supplementation to tackle the deficiency
Lffel, Q.-L