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Richardson agrees

Diet control, moderate exercise, behavior modification programs, bariatric surgery and prescription drug treatment are the major interventions used to help people lose weight

Physicians typically prescribe these injections in individuals with low B12 levels from inadequate diet, illness, or age-related changes

Any issue that can affect the stomach, pancreas or the last 3-4 cm of the small bowel (called the terminal ileum): Stomach: gastrectomy, gastric bypass Pancreas: chronic pancreatitis, removal of the pancreas Terminal ileum: Crohns disease, coeliac disease (an allergy to gluten requiring a very strict gluten-free diet), removal of terminal ileum, ileostomy, radiotherapy to the pelvis (e.g