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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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Consuming fortified foods, such as vegan spreads, cereals, and meat substitutes can help, but vitamin supplements or B12 injections may work even better to correct B12 deficiencies

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Vitamin B 12 is still the subject of intense research and, in particular, its role in preventing these irreversible neurological lesions remains unclear