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Compounded medications are personalised formulations, designed to meet individual patient needs when commercially available medicines are unsuitable

Magis D, Ambrosini A, Sndor P, Jacquy J, Laloux P, Schoenen J

Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12