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these factors make GLP-1 RAs an alternative initial treatment option, with or without metformin based on glycemic needs, in T2DM patients with indicators of high-risk or established heart failure (HF) or CKD who cannot tolerate an SGLT2 inhibitor

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For example, if you ate the following, you would consume more than double your daily B12 needs: However, if you have any issues that interfere with vitamin B12 intake or absorption, you may want to consider taking a supplement

How do you reduce high B12 levels