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In addition, when semaglutide is used in combination with insulin detemir, the dose of insulin should be evaluated

This protocol recommends weekly B12/MIC injections for up to 6-months (or 6 total refills)

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This oral supplementation works just as well as injections for most patients

These types of therapies therefore generally require high doses and long treatment durations, which increase the risk of undesirable side effects

MMA rises when B12 is functionally lacking inside the cells and is the more specific of the metabolic markers