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No direct pharmacological link exists between GLP-1/GIP medicines and B12 deficiency, but concurrent metformin use (common in diabetes) is established to reduce B12 absorption

ABSTRACT A growing body of evidence indicates that gut microbiota influence brain function and behavior

They may also give you dietary advice so you can increase your folate intake

Speaking to a UK Healthcare Professional About These Treatments Patients interested in these treatments should speak to their GP or an obesity medicine specialist, who can assess eligibility for licensed therapies or clinical trials via NHS Tier 3 weight management services

Additionally, check to see if your patient is taking medications that can cause B12 deficiency

The lower bridge introduces glucagon gradually