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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8

Introduction In the rapidly evolving landscape of medical weight loss, few topics have generated as much discussionand confusionas the safety of compounded medications

doi: 10.2146/ajhp050459 48 SimonsenLHolstJJDeaconCF

Endocrine Reviews, 18(5), 621645