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These patients are often recommended to receive 1 mg of oral vitamin B12 daily indefinitely, but intramuscular injections may be necessary if oral supplementation is insufficient Mahawar2018Langan2017
This results in increased concentrations of GLP-1 and GIP (incretin hormones), both of which stimulate insulin secretion, while GLP-1 also promotes satiety
Nonetheless, several groups should be considered at elevated risk and would generally be advised against use outside a controlled clinical trial
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