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Pre-existing risk factors common in the diabetes population further compound concern: Older age (reduced intrinsic factor production) Autoimmune conditions (pernicious anaemia, thyroid disease) Previous gastric surgery or gastrointestinal disorders Vegetarian or vegan dietary patterns There is no established link between semaglutide pharmacology and B12 metabolism in the MHRA-approved product information, but the clinical context in which Ozempic is prescribed creates a population where B12 awareness is prudent

A diet higher in alkaline elements from fruits and vegetables also neutralizes this acidic condition, making it a potential therapeutic strategy in CKD (Scialla 2011

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Also, it's a good choice for people with low energy levels and small vitamin B12 deficiencies