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Hulme JT, DSouza WN, McBride HJ, Yoon BP, Willee AM, Duguay A, et al

Medications know to cause bone marrow suppression (e.g., myelosuppressive antineoplastic agents) may result in a blunted or impeded response to methylcobalamin, vitamin B12 therapy

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Laboratory diagnosis of vitamin B 12 and folate deficiency: a guide for the primary care physician

While standard GLP-1s can sometimes cause lethargy due to reduced caloric intake, Tesofensine actively increases metabolic rate and often improves patient energy levels and focus
