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When a person loses weight rapidly on GLP-1 treatment, changes may be seen in the face, body, scalp and nails

This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

It is given together with hormonal anticancer therapies

Shelf Life & Storage Guide BAC water is good for 28 days after opening and 2 to 3 years sealed

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Supplementing with vitamin B12 is common because deficiency is widespread