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Kidney disease becomes a more convincing explanation for a high B12 when renal findings such as an elevated creatinine or a reduced eGFR are present

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GLP-1 weight loss injections are typically recommended for individuals who: Have a Body Mass Index (BMI) of 30 or higher (obesity) or a BMI of 27 or higher with an obesity-related condition (like type 2 diabetes, hypertension, or high cholesterol), have difficulty losing weight through diet and exercise alone, have type 2 diabetes and need better blood sugar control along with weight management

DOI: 10.1016/S0140-6736(21)01751-7