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Many patients with B12 deficiency, especially those with pernicious anemia, have difficulty clearing cyanide
From Medicaid data publicly available, there is no way yet to disentangle how much of the growing use of GLP-1s is related to treatment for diabetes, cardiovascular disease, or sleep apnea versus obesity, or a combination

Progressive neurological deficits: If weakness is worsening despite treatment, medical evaluation is essential

Where appropriate, we can arrange testing or review recent blood results before treatment
