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If you take a daily B12 supplement or multivitamin and your levels are mildly elevated (900 to 1,200 pg/mL), the most likely explanation is the supplement

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Oral GLP-1s (Rybelsus and Beyond) Until recently, Rybelsus (manufactured by Novo Nordisk) was the only oral medication in its class with FDA approval

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In addition, treatment with tirzepatide increased odds of discontinuation of study drug due to adverse events

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