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Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease
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The documented research protocol uses a fixed 2,667 mcg (~2.67 mg) total-blend dose = 0.10 mL = 10 units on a U-100 syringe, from an 80 mg vial reconstituted with 3 mL of bacteriostatic water (26.67 mg/mL)
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We anticipate that this review will generate data that will help biomedical researchers or clinical workers develop obesity treatments based on GLP-1R agonists
