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Lifestyle considerations: While dietary B12 intake is not relevant in pernicious anaemia (due to malabsorption), maintaining a balanced diet supports overall health

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A potential limitation of oral semaglutide is the need to dose patients in a fasted state upon waking and 30 min before consuming food, drink, or other oral medications

Exercise Performance and Recovery MOTS-c improves mitochondrial density and cellular energy production

Reasonable monitoring Resting heart rate and blood pressure Track baseline and periodic measurements given community reports of heart-rate changes