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Europe follows, driven by guideline-directed medical therapy adoption

it can lead to undereating or nutrient gaps

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Always proceed under the guidance of a health care professional

When appetite is reduced and fullness lasts longer, it may become easier for some patients to reduce portion sizes, avoid constant snacking, and stay more consistent with a calorie-controlled plan

Importantly, folic acid should not be given alone before B12 deficiency is excluded or treated, as this can mask anaemia while allowing neurological damage to progress