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Not directly, but the mechanisms of GLP-1 therapy, including slowed gastric emptying and significantly reduced food intake, create conditions that increase B12 deficiency risk over time

Despite pointing out the BNF and NICE guideline recommendation that more frequent injections are necessary if symptoms persist and that patients with neurological symptoms should be on a maintenance dose of every 8 weeks, this doctors practice told her that it is their surgerys policy to only give 12 weekly and under no circumstances would she get any more frequent injections despite a formal diagnosis of PA

Conclusion: Implementing Evidence-Based B12 Therapy for Optimal Outcomes Using evidence-based guidelines for vitamin B12 therapy is key for the best patient results

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