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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

Repeatedly using the same area can cause tissue damage, reduce absorption efficiency, and increase discomfort

One of the things I learned early on was the importance of supplementing my daily diet with vitamins and supplements in order to help prevent some of the not-so-fun side effects of GLP-1 medications

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