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Routine monitoring discussions should occur if: You have been taking metformin for more than three years without recent B12 testing You are taking high-dose metformin (2g or more daily) You are aged 65 or older You follow a vegan or vegetarian diet You are taking acid-suppressing medications (such as omeprazole or ranitidine) You have other risk factors for B12 deficiency Patients should not commence B12 supplementation without medical advice, as inappropriate supplementation may mask underlying conditions such as pernicious anaemia or other causes of deficiency that require specific investigation and management

To get your body regulated and back in tip-top shape, we encourage you to contact our office with a phone call or use our website to request an appointment

Switching GLP-1 medications is a conversation for your prescribing provider, but tirzepatide represents an option worth discussing if muscle preservation is a primary concern

Your prescriber will approve or disapprove a GLP-1 prescription at their discretion after careful consideration of your unique health profile

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Association between proton pump inhibitor use and vitamin B12 deficiency: a retrospective cohort study in primary care centres in Riyadh, Saudi Arabia