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Besides the conditions listed above, the following risk factors can increase the chance of developing a B-12 deficiency
The two most common agents include subcutaneous semaglutide (Ozempic, approved for type 2 diabetes, and Wegovy, approved for weight loss) and liraglutide (Saxenda, approved for weight loss, and Victoza, approved for type 2 diabetes), though an oral formulation of semaglutide is available (Rybelsus)
There are some general principles that guide us
Sometimes, slowing the dose ramp or timing NAD and Tirzepatide combo differently makes all the difference
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