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The RDA The recommended dietary allowance (RDA) for vitamin B 12 was last revised by the Food and Nutrition Board (FNB) of the US Institute of Medicine (now the National Academy of Medicine) in 1998 ( Table 1 )

The ideal candidate for semaglutide has tried dietary and lifestyle interventions and not achieved sufficient weight loss

If your insurer covers Wegovy or Saxenda but theyre unavailable, your healthcare provider may be able to ask for a formulary exception to get Mounjaro approved as a substitute

It is a useful reminder to consider vitamin B12 deficiency in people taking metformin who have megaloblastic anaemia, neuropathy or other symptoms suggestive of deficiency

Concentrations above the normal level of 221pmol/L are indicative of an adequate B12 status, whereas those between 150 and 221pmol/L, or often below 150pmol/L, are indicative of B12 depletion or deficiency, respectively

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