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Understanding why helps set appropriate expectations

10.1073/pnas.1010529108 181 Heintz-BuschartA.PandeyU.WickeT.Sixel-DringF.JanzenA.Sittig-WiegandE.et al

Consultations are also a great time for us to get to know you and answer any questions that you may have

Conlon, M

For patients seeking weight loss who request B12 injections, GPs should: Assess for genuine deficiency through appropriate blood tests rather than empirical treatment Provide education about the lack of evidence supporting B12 for weight loss in non-deficient individuals Explore underlying concerns about weight and energy levels, addressing these through appropriate channels Signpost to evidence-based resources such as NHS weight management services according to local pathways Patients should contact their GP if they experience unexplained fatigue, neurological symptoms (numbness, tingling, balance problems), or signs of anaemia (pallor, breathlessness, palpitations), as these may indicate B12 deficiency requiring investigation

Journal of General Physiology