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Unlike a broken arm that can be immobilized in a cast, your ribs move with every single breath you take

NICE obesity guidance (CG189) recommends multicomponent interventions addressing diet, physical activity, and behaviour change as first-line management

Any substance chemically/pharmacologically related to these classes is also banned

Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment