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The pain from the nerve damage can be severe with tingling or numbness in the part of the body
They are classified as food supplements and are not part of standard NHS obesity treatment pathways, which prioritise lifestyle modification and licensed medications such as orlistat or semaglutide
Lcarnitine is best viewed as a small adjunct when combined with sensible diet and exercise rather than a standalone rapid weightloss solution
Unexpectedly high B12 levels without supplementation warrant GP review as they may indicate underlying liver disease, kidney disease, or blood disorders
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