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They had to have no generic or biosimilar competition, account for a high amount of Medicare spending and be on the market for a number of years
Patients who travel frequently, have unpredictable meal schedules, or prefer minimal daily decision-making often choose injections for their once-weekly simplicity
Studies and case reports indicate B12 levels can decline within 612 months of starting semaglutide, particularly in patients with baseline low-normal B12 or genetic variants affecting cobalamin metabolism
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