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Consider referral to an endocrinologist if you are dealing with significant clinical complexity, if the patient is not meeting targets after trying different therapies or where the diagnosis is unclear

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Lincoffs comment is important, as the growth and refinement of bariatric (metabolic) surgery over the past 30 years has resulted in significant gains for many patients, not just in life span and quality of life but also in reversal of diabetes and reduction of diabetes risk as well as compelling evidence suggesting cardiovascular benefits

For those who fall outside these categories and have normal serum B12 levels, an injection is a discretionary wellness choice not a medical treatment

The number of children diagnosed with autism has risen sharply in many countries

These symptoms are typically short-lived and manageable