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Concurrent medical conditionssuch as Crohn's disease, coeliac disease, or gastric surgerycan impair absorption and delay treatment effects
Patient self-management: Many patients become adept at recognising early signs of B12 deficiency (such as fatigue or paraesthesia) if injections are delayed
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Regulators are concerned that making the medicine widely available could lead to: Misdiagnosis: Patients self-treating a different, underlying condition
To diagnose, doctors assess the cause of the sensation loss
How it works: Kisspeptin signals your brain to release GnRH (gonadotropin-releasing hormone), which triggers a cascade: your pituitary releases LH and FSH, which stimulate your reproductive organs
