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Treatment consists of taking in vitamin B-12 by mouth or by injection, initially in high daily oral doses.If your anemia is due to a chronic disease, treatment of the underlying disease will often improve the anemia

Clinical practice guidelines for healthy eating for the prevention and treatment of metabolic and endocrine diseases in adults: cosponsored by the American Association of Clinical Endocrinologists/the American College of Endocrinology and the Obesity Society

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However, the absence of evidence does not confirm safety, as the combination has not been specifically studied

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It's grandfathered onto many formularies that now exclude newer drugs like Zepbound