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Vitamin B12 monitoring is not routinely indicated for patients on GLP-1/GIP therapy alone but may be considered for those also taking metformin or with risk factors for deficiency

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Semaglutide does not directly affect intrinsic factor production, but the reduced stomach acid environment can compromise the initial separation step that makes b12 available for intrinsic factor binding

Since B12 is essential for neurotransmitter production and the upkeep of healthy nerve cells, lacking it may hinder cognitive abilities

Older Patients Older patients should administer ME 12 INJECTION 1ML under medical supervision as they may be more susceptible to its side effects