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The appropriate approach should be discussed openly, including the expected costs, the evidence for the proposed regimen and what the next step would be if symptoms do not improve

Studies on GLP-1 receptor agonist users show mixed results: some patients maintain normal B12 levels, while othersparticularly those with pre-existing absorption issues, vegans, or those on long-term metforminmay develop subclinical B12 deficiency

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DR and tumor growth retardation Animal data Two meta-analysis have evaluated the evidence for tumor growth inhibition by CR