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For example, a gastrectomy, a surgical procedure where part of your stomach is removed, increases your risk of developing a vitamin B12 deficiency

Deficiency in vitamin B12 may cause anemia, fatigue, muscle weakness, intestinal problems, nerve damage, and mood disturbances

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Im not a doc but know that Prof B Dasgupta at Southend Hospital is a leading expert in Large Vessel Vasculitis and temporal arteritis

The choice between them depends on whether appetite control or direct metabolic enhancement is the priority