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Glucagon-like peptide-1 (GLP-1) agonists, originally developed to manage type 2 diabetes, are now used to treat obesity due to their metabolic effects (6)

Approximately one year later, he experienced a severe worsening of his previously very mild neuropathy, and lab evaluation yielded a serum B12 of 220 pmol/l (which is normal, remember!?), but an elevated serum MMA of 1300 nmol/l, supporting the existence of true B12 deficiency

Qualitative assessments showed bone of normal architecture and quality without mineralization defects

Some fortified cereals and plant-based milk also contain small amounts of B12

It also supports faster recovery and can be combined with other medications for more complete symptom relief