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The MHRA advises checking B12 levels in patients on metformin who have symptoms of deficiency or risk factors, and considering periodic monitoring

I think the thought is that they look at it [peptide therapy] as a more natural way of doing either growth hormone replacement or testosterone replacement. However, while there are some small studies suggesting certain peptides may have benefits, theres no strong evidence that peptide therapy provides any meaningful difference in performance and recovery, experts said

Testing b12 after 6 to 12 months of semaglutide use makes more sense than presumptive supplementation

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