4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency
Eur J Pharmacol 781:8391 Staresinic M, Petrovic I, Novinscak T, Jukic I, Pevec D, Suknaic S, Kokic N, Batelja L, Brcic L, Boban-Blagaic A (2006) Effective therapy of transected quadriceps muscle in rat: gastric pentadecapeptide BPC 157
A., & Azer, S
Safety data : CagriSema builds on semaglutide's 7+ year track record
In contrast, in paradoxical B12 deficiency, serum levels of vitamin B12 are generally above 250 pmol/L and the vitamin B12 deficiency is due to a co-deficiency in functional vitamin B2