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Inflammation likely plays a part in several of these effects, but the exact biology in humans is still not well understood

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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