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I would respectfully ask if the B12 test could be repeated, I have learned here that B12 supplementing can alter folate levels so I wonder if your folate level being considerably above the high end of the range has masked your B12 deficiency and affected your B12 levels

Excess B12 is excreted through urine as a water-soluble vitamin, reducing the risk of toxicity

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Additionally, SAM plays a pivotal role as the primary provider of methyl groups, which are crucial for various processes, including gene regulation

Patients using once-weekly semaglutide are advised to make lifestyle changes, including a reduced-calorie diet and increased physical activity, to improve the efficacy of the drug for optimal weight loss