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However, as the science surrounding aging and metabolism continues to evolve, clinicians are discovering ways to amplify and extend those benefits

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NICE Clinical Knowledge Summaries and British Society for Haematology guidelines emphasise the importance of prompt investigation when clinical features suggest deficiency

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Anyone who suspects they have experienced an adverse reaction to any medicine or substance licensed or otherwise should report it to the MHRA via the Yellow Card scheme (yellowcard.mhra.gov.uk)

However, stopping treatment can lead to a return of appetite and changes in blood sugar control, which some people notice as symptoms rather than true withdrawal