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At the same time, liraglutide suppresses glucagon secretion from alpha cells, reducing hepatic glucose output
Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine
In this scenario, choosing a compounded version with b12 added costs only slightly more than compounded semaglutide alone, making the combination potentially worthwhile even without clear medical necessity
Its best for those needing long-term Vitamin B12 treatment
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