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In patients with bulimia or anorexia nervosa, vitamin B 12 deficiency also can be related to diet

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It is important to check for coexistent folate and iron deficiency

While oral B12 supplements are available, vitamin B12 injections have advantages including enhanced absorption since it bypasses digestion, a fast-acting energy boost from quick absorption, higher blood levels reached versus pills, lasting benefits between maintenance doses, improved concentration and mental clarity, and often more affordable and convenient long-term

Leptin, obesity, and leptin resistance: Where are we 25 years later