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Testing b12 after 6 to 12 months of semaglutide use makes more sense than presumptive supplementation

Association between metformin and vitamin B 12 deficiency in patients with type 2 diabetes: A systematic review and meta- analysis

INDICATIONS AND USAGE Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption, which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency Cyanocobalamin Injection, USP is also suitable for the vitamin B 12 absorption test (Schilling test)

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