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Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

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Prescription agents (e.g., semaglutide) : Stronger clinical evidence, FDA-regulated, but may carry more systemic side effects