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Certain prescription medications, including antacids and anti-diabetic medicines like metformin can cause vitamin B12 deficiency An endocrine-related autoimmune disorder, such as thyroid disease or diabetes Eating a vegetarian or vegan diet and excessive consumption of alcohol Certain gastrointestinal disorders, such as Crohns disease or Gastric bypass surgery or removal of part of the stomach Brain related disorders such as anxiety, depression, irritability and even poor concentration and general restlessness Heart and blood-related problems, increased risk of infections, improper growth in children and complication during pregnancy If you are a strict vegetarian, take vitamin B12 supplements

This exclusion is driven by a cautious, protection-focused research culture rather than by evidence of harm from any specific compound

As all cells in the body require cobalamin for single carbon metabolism, it has been hypothesized that cobalamin deficiency may actually contribute to the clinical signs and manifestations of gastrointestinal disease in some patients

These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

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Paying for your care with Health Savings Benefits Making care more accessible with eligible pre-tax benefits We accept Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) for eligible services within our medical weight management program