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When a patient experiences an arrhythmia, it may indicate the presence of an abnormal heart rhythm, such as premature beats, atrial fibrillation, ventricular fibrillation or ventricular tachycardia (53)

Unlike metformin, which interferes with calcium-dependent B12 absorption in the ileum, GLP-1 receptor agonists do not have a known mechanism that would directly impair B12 absorption or metabolism

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If they prescribe a high dose and call it microdosing, that is a red flag

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