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Routine monitoring discussions should occur if: You have been taking metformin for more than three years without recent B12 testing You are taking high-dose metformin (2g or more daily) You are aged 65 or older You follow a vegan or vegetarian diet You are taking acid-suppressing medications (such as omeprazole or ranitidine) You have other risk factors for B12 deficiency Patients should not commence B12 supplementation without medical advice, as inappropriate supplementation may mask underlying conditions such as pernicious anaemia or other causes of deficiency that require specific investigation and management

Potential Side Effects and Risks When taking any medication, side effects are a possibility

They protect you from bacteria, viruses, cancer cells and parasites

They were never truly generics, and pharmacies cant label them as brand-name medications. Why this matters Compounded GLP-1s werent held to the same quality or safety standards as the brand-name versions

If you want the fuller picture of what the drug does while it is in you, see how does Ozempic work