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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

In fact, Saxenda (liraglutide) has been approved by the FDA for use in weight management in people with a BMI of 30 or higher or a BMI of 27 or higher with at least one weight-related condition, such as high blood pressure, type 2 diabetes, or high cholesterol

Hence, we explored if autophagy in vitiligo may be part of a response to a broader metabolic shift, and whether it tends to maintain cell survival or whether it represents a degenerative mechanism through autophagy-mediated programmed cell death

Key Takeaway: Dont just look at the milligrams on the label