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The duration and severity of pretreatment deficiency symptoms have a clear impact on the time course and degree of recovery after starting B12 therapy [1,86], thus emphasizing the importance of early identification and prevention

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[1] Metabolic Medications Concurrent use with semaglutide or other GLP-1 receptor agonists may amplify hypoglycemic effects, with animal studies showing glucose reductions 40-50% greater than either compound alone