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Risk factors for deficiency: Vegetarian or vegan diet Long-term use of antacids or metformin Pernicious anaemia or poor gut absorption Functional testing can assess serum B12, methylmalonic acid, and homocysteine for a more complete picture

Medications such as semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro, Zepbound) have helped patients lose weight quickly and effectively by suppressing appetite and supporting metabolism

six cases occurred in patients receiving concomitant insulin and one occurred in a patient receiving a concomitant glinide

Tirzepatide leads to greater weight loss and is often better tolerated as compared to semaglutide, and for this reason, it is becoming more popular [25]

This is more than double the 14% reduction that the same study found with naltrexone, which was the best-performing medication approved for treatment of alcohol use disorder in that analysis