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Blood tests measuring serum B12 and, if appropriate, methylmalonic acid or homocysteine levels can clarify your B12 status

Ozempic is usually covered for its FDA-approved indications, so the medication is typically not covered for weight loss, while phentermine is inexpensive ($10-$40) and can be paid out of pocket

[4] Patients should never adjust dosing of either medication without medical supervision and should report any concerning symptoms to their healthcare provider promptly

Canadian Medical Association Journal 1999;161:1469

First-line treatments usually consist of hormonal treatmentsuch as a hormonal IUD (coil) or continuous use of a birth control pillcombined with a non-steroidal anti-inflammatory drug (NSAID) like naproxen