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Many people have reduced absorption due to age, medication, or digestive issues

Therapy for a vitamin B12 deficiency If a vitamin B12 deficiency is detected in the blood via holotranscobalamin, the first question to be clarified is whether there are any dietary causes for this (vegetarian, vegan, malnutrition) or whether there is medication that favors this, such as metformin or acid blockers

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Although routine monitoring of serum calcitonin is of uncertain value in patients treated with semaglutide, if serum calcitonin is measured and found to be elevated, the patient should be referred to an endocrinologist for further evaluation