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If follow-up has lapsed which is not uncommon several years after surgery patients are encouraged to re-engage with their GP to arrange a nutritional review and, where appropriate, re-referral to the original bariatric unit or a local specialist service

This wide range of risk factors, age groups, and circumstances makes it important for medical professionals to accurately identify and document the specific type of injury each patient experiences

It is also used to boost immune function and to decrease memory loss

The initial laboratory assessment of a patient with suspected vitamin B 12 deficiency should include a complete blood count and a serum vitamin B 12 level