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Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

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Ozempic (semaglutide) is an FDA-approved prescription GLP-1 receptor agonist with clinical trial evidence showing mean weight loss of 14.9% at 68 weeks in the STEP 1 trial