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Dig Dis Sci 1996

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eligibility typically requires a BMI of 35 kg/m or above (or 30 kg/m or above in certain ethnic groups), though thresholds vary by ICB Bariatric surgery referral for eligible patients, typically those with a BMI of 40 kg/m or above, or 35 kg/m or above with significant obesity-related comorbidities, in line with NICE guideline CG189 Structured diabetes prevention programmes for those at risk of type 2 diabetes These pathways offer genuine, monitored, and legally sanctioned routes to improved metabolic health

Why a normal or high total B12 can coexist with cellular deficiency Total B12 measures what is in the blood, not what has reached the cells, so a high or normal value does not rule out a functional shortfall