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Anything that disrupts parietal cells, intrinsic factor, or the intestinal lining interrupts this chain which is the mechanism behind most of the deficiency causes covered later in this article
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If appropriate, they can refer you to specialist services such as CAMHS for children or adult ADHD services for comprehensive evaluation and evidence-based treatment following NICE guidelines
The most common side effects remained gastrointestinal
Additionally, many patients give up the treatment, whether because they are buying it privately so cannot afford it, because the side-effects do not suit them or because they are not losing weight any more
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