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Enlist help: Ask your doctor or clinic staff to take the lead on PAs and appeals

When to see a doctor Signs that warrant a doctors review Unexplained weight loss Night sweats Unusual bruising or bleeding Persistent fatigue together with an abnormal full blood count Yellowing of the skin or eyes, or swelling of the abdomen A high B12 in someone taking no supplements, no injections and no fortified products Outside these situations, a high B12 in someone who takes a supplement is not an emergency

Even with those issues I am happy with the extra weight coming off and plan to stay on it

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