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Additional risk factors include: Age over 60 years (reduced stomach acid production) Autoimmune conditions (thyroid disease, vitiligo, type 1 diabetes) Family history of pernicious anaemia Chronic alcohol consumption Diagnosis and Testing Diagnosis of vitamin B12 deficiency anaemia requires a combination of clinical assessment, laboratory investigations, and sometimes specialist testing

This rise may relate to emerging evidence of its metabolic efficacy and weight loss benefits, which could be influencing prescribing patterns among patients with PCOS (16)

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Remember to start with simpler variations and prioritize proper form

Restarting Rybelsus requires recovery from anaesthesia, tolerance of oral intake, and ability to follow specific administration requirements (empty stomach, 30-minute wait)