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Consider periodic monitoring of B12 in patients on metformin with risk factors for B12 deficiency Risk factors are quite wide-ranging and include the following (MHRA, 2022): Baseline vitamin B12 levels at the lower end of the normal range

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Compared to prescription GLP-1 medications like Ozempic and Wegovy, which can cost $800 to $1,500 per month out of pocket for brand-name products, the skinny shot is a much more affordable option

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Additionally, Crohns disease, celiac disease, and other intestinal issues increase the odds of developing a B12 deficiency