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These may include reduced appetite, less frequent snacking, and gradual weight loss

This is done only after assessing various factors that include weight, age and gender

Instead, they struggle with a low mood, reduced energy, and poor concentration, not knowing that there is a simple treatment option available: vitamin B12 injections

Further, it does not imply that the Military Health System requires that use by DoD health care practitioners or considers it to be the standard of care. Rather, the inclusion in CPGs of off-label uses is to inform the clinical judgment of the responsible health care practitioner by providing information regarding potential risks and benefits of treatment alternatives