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Food and Drug Administration (FDA): FDA Guidance and Warnings Regarding Compounded Semaglutide Products National Institutes of Health (NIH) Office of Dietary Supplements: Vitamin B12 Health Professional Fact Sheet and Metabolism Novo Nordisk Official Resources: Ozempic (semaglutide) Prescribing Information and Full Ingredient List Obesity Medicine Association: Clinical Guidelines for Nutritional Monitoring During GLP-1 Therapy The American Journal of Clinical Nutrition: Micronutrient Adequacy and Dietary Intake During Significant Weight Loss

Signs Of Vitamin B12 Deficiency Although the majority of people in the U.S

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Serum B12 above 300 pg/mL is often interpreted as normal (6) Serum B12 levels between 200 and 300 pg/mL are considered borderline (in which case further enzymatic testing may be helpful for diagnosis) (6) Enzymatic testing: serum levels of MMA and homocysteine should both be elevated if B12 deficiency is present

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(12(1)):e2020043 doi:10.4084/MJHID.2020.043