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While it has been in research for over 20 years, it has recently gained a second life thanks to the massive public interest in peptide therapy and the rise of GLP-1 medications.
Remember to rest, eat a balanced diet, and avoid common mistakes such as alcohol consumption and smoking
The choice of B12 formulation should be guided by the individual patients needs and clinical presentation. Expert Consensus on B12 Therapy In summary, knowing the different B12 formulations and their dosing is key for managing B12 deficiency
Supplementation might benefit those with deficiency-related symptoms
If oral B12 replacement has been trialled in a person with metformin-associated B12 deficiency, I would suggest that a repeat measurement of B12 levels after 812 weeks is a good time to reassess whether absorption is adequate or whether a switch to intramuscular replacement is required