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Several autoimmune diseases can make it harder for your body to absorb B12, including pernicious anemia

These changes persisted up to two years after weight loss if weight loss was also sustained

For patients with diabetes who are advised to stop their GLP-1 medication: You should receive specific guidance on alternative glucose management during this period Blood glucose monitoring may need to be increased Temporary adjustments to other diabetes medications might be necessary Follow the JBDS perioperative diabetes management guidance or your local Trust protocol For emergency surgery , stopping GLP-1 medications in advance is not possible, and anaesthetists will take additional precautions to manage aspiration risk

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