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Description

clinicians may monitor B12 and supplement as needed

Diagnosis typically involves B12 level testing, intrinsic factor antibody tests, and sometimes specialized absorption studies like the Schilling test

2014;37(2):e22-23

Management: o Dose adjustment or supplementation may be required under medical supervision

NICE recommends that overweight or obese patients aim for gradual, sustained weight loss of 510% of body weight, which has been shown to reduce liver fat and improve liver enzyme levels