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The way the medication works reduces two known risk factors for heart health issueselevated blood sugar and excess weight

The main reasons to request a formulation without B12 would be a documented B12 allergy (extremely rare) or a preference for managing B12 supplementation separately through oral supplements
doi: 10.1016/j.diabres.2021.108931 12 World Medical Association
No offboarding plan Programs without a tapering strategy leave members on medication indefinitely which drives up long-term spend
