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NICE recommendations for GLP-1 therapy include: For type 2 diabetes (NICE NG28): GLP-1 therapy should only be continued if there is a beneficial metabolic response (HbA1c reduction of 11 mmol/mol [1.0%] and weight loss of 3% of initial body weight at 6 months)

Vegans and Vegetarians: B12 is found almost exclusively in animal products, so those on plant-based diets must use fortified foods or supplements Older Adults: reduced stomach acid can decrease B12 absorption from food as we age People with Pernicious Anemia: this autoimmune condition prevents the body from making intrinsic factor, a protein needed for B12 absorption Individuals with Gastrointestinal Conditions: diseases like Crohn's or Celiac disease can impair nutrient absorption Patients Who Have Had Gastric Surgery: procedures like gastric bypass can reduce the body's ability to absorb B12 Certain Medications: drugs such as Metformin and proton pump inhibitors (PPIs) can interfere with B12 absorption Medically-Approved vs

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