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Arumugam M, Raes J, Pelletier E, Le Paslier D, Yamada T, Mende DR, et al

A responsible clinic will recommend baseline labs before writing a prescription

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Gastric or bariatric surgery : Patients who have undergone weight loss surgeries such as gastric or bariatric surgery may experience B12 deficiency due to the unavailability of intrinsic factor after gastric or intestinal resection

Some providers prescribe semaglutide off-label to patients with lower BMI who have demonstrated metabolic dysfunction or family histories of diabetes

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