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In a medical weight-loss program, its one toolused with nutrition, movement, sleep, and coachingnot a stand-alone fix
8 Where results are unclear, serum MMA and homocysteine levels (both of which accumulate with B12 deficiency as discussed above) can also be used to confirm a diagnosis, although homocysteine is not specific to B12 deficiency, as it may also be caused by deficiencies in other B vitamins
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[6] [7] Important safety considerations include contraindications for patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), and warnings regarding pancreatitis, gallbladder disease, and diabetic retinopathy complications
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