Many of these symptoms align with NICE NG12 guidance on suspected cancer referral pathways
The situation is almost certainly manageable
Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12
[16] The UK guidance level for supplemental B6 is 10 mg per day for adults unless medically supervised
Treating B12 Deficiency If you have diabetes, use metformin, and have vitamin B12 deficiency, your doctor has two major options to help get your levels back into a safe range, according to research in the World Journal of Diabetes : Intramuscular Injections You might need injections every one to two days at first, gradually tapering off to injections every three to four weeks
Royalty Wellness Spa offers Lipo Injections , which increase metabolism and promote breakdown and fat excretion