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A 2025 European Journal of Clinical Nutrition commentary on the NICE guideline argued that the diagnostic threshold and clinical awareness still need to be tightened further, especially around pernicious anaemia, which is still under-recognised in primary care
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NICE guidance on weight management emphasises that medications like Mounjaro should be used within multidisciplinary weight management services that provide dietary, physical activity and behavioural support
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Hepatic Insufficiency (Liver Problems): No specific dose adjustments are required, though the liver stores B12, so patients with severe liver disease must be monitored
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Injuries, joint pain, and slow recovery can disrupt daily life
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