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Scenario 4: Elderly patient on multiple medications including metformin A 68-year-old with type 2 diabetes takes metformin, a proton pump inhibitor for reflux, and is starting semaglutide for additional glucose control and weight loss

They may recommend adjusting the dosage, exploring different forms of B12 supplementation, or addressing underlying health issues that could be contributing to your symptoms

Additionally, we monitor and provide ongoing support for patients experiencing common symptoms of deficiency, including fatigue, weakness, memory issues, neurological changes, and anemia

How often are B12 injections given on the NHS

Outside of a research environment, the situation could be very different