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Exercise: Regular physical activity, including both aerobic and strength training exercises, boosts overall fitness and weight reduction

Furthermore, it accelerates fatty acid oxidation within hepatic cells

The presence of solid food also slows gastric emptying, allowing more time for the supplement to mix with digestive enzymes and bile, further enhancing absorption

similarly not universally available and has multiple causes Full blood count to identify macrocytosis or megaloblastic changes Blood film to assess red blood cell morphology NICE CKS guidance and the British Society for Haematology (BSH) recommend that clinical symptoms should always be considered alongside laboratory values, particularly in high-risk groups such as post-bariatric surgery patients