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During the physical examination, your doctor will look for a red, beefy tongue, pale or yellowish skin, a rapid pulse, and heart murmurs resulting from an anemia-related increase in blood flow demands on the heart

This may be at room temperature [20-25C (68-77F)] or refrigerated [2-8 C (36 -46 F)]

Similarly, b12 injections for tiredness work best when confirmed through a blood test rather than assumed

Use of certain medications that may interact with B12 or choline metabolism (e.g., metformin, proton pump inhibitors, or anticholinergic drugs)

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Bariatric Surgery Sleeve gastrectomy, gastric bypass, and newer, less invasive procedures produce the largest and most durable weight loss of any intervention