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Commencement of metformin indicates prudent clinical practice for B12 management as outlined - establish B12 status at commencement of drug treatment, and monitor on a regular basis, or commence a prophylactic B12 intervention with oral supplements as they are not protein-bound and therefore do not require gastric acidity for absorption
For the standard pen format, 4 mm to 5 mm in length and 31G or 32G is the most common pen needle
SGLT2 inhibitors and GLP1-RA slow the worsening of kidney disease and improve cardiovascular outcomes in patients with CKD
Endocr Rev (2020) 41(1):bnz002
Improves liver detoxification
Stimulates appetite and supports healthy weight gain*
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