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Revised Date: January 18, 2023 Recommendations and Topics Scope Key Recommendations Background Epidemiology Patient Risk Factors Associated with B 12 Deficiency Patient Risk Factors Associated with Folate Deficiency Prevention Diagnosis Management Ongoing Care References Resources Appendix A: Dietary sources of cobalamin Scope This guideline covers the primary care investigation and management of cobalamin (vitamin B 12 or simply B 12 ) and folate deficiency in adults

Weight gain associated with hypothyroidism often improves once thyroid hormone levels are adequately replaced, so it is worth confirming that your current levothyroxine dose is appropriate before pursuing additional weight management interventions

No significant differences were observed between the two groups regarding age, sex, symptom duration, or plasma vitamin B 12 level

Dehydration worsens nausea and is easy to overlook when your appetite is suppressed

I am optimistic about the rest of the months and ongoing weight loss