However, individuals with restricted diets or absorption issues may require additional supplementation, such as Vitamin B12 injections
Seek prompt medical attention if missed periods are accompanied by: Severe, persistent upper abdominal pain (especially if radiating to the back), with or without vomiting, which could indicate pancreatitis Right upper abdominal pain, fever or jaundice, which might suggest gallbladder disease Abnormal vaginal bleeding or discharge Signs of pregnancy (nausea, breast tenderness, fatigue) Symptoms of hormonal imbalance (excessive hair growth, acne, voice changes) Significant unintended weight loss beyond your target Signs of malnutrition (hair loss, brittle nails, extreme fatigue) Hot flushes or night sweats suggesting premature ovarian insufficiency Your GP may recommend investigations including pregnancy testing, hormonal blood tests (FSH, LH, oestradiol, prolactin, thyroid function), and possibly pelvic ultrasound to assess ovarian and uterine health

Visceral fat is the specific fat depot most strongly linked to reflux severity because of its anatomical proximity to the stomach and diaphragm
Limitations of use: Limitations of use: It has not been studied in patients with a history of pancreatitis