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Future research will focus on three directions: Further exploring effects in humans and conducting clinical trials to verify safety and efficacy in human anti-aging, supporting translational application

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NICE-approved weight management pathways, including licensed pharmacotherapy and specialist referral, are the appropriate starting point

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Summary: Vitamin B12 injections after gastric banding are indicated when oral supplementation fails to correct a documented deficiency, neurological symptoms are present, or the patient cannot adhere to daily oral regimens

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