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Elevated methylmalonic acid (MMA) and homocysteine indicate functional B12 deficiency even with normal serum levels

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Additionally, some patients may not have completed the full dose escalation schedule, remaining at intermediate doses that are less effective for weight management

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64 GLP-1 exhibits a dual regulatory role in GERD pathogenesis: on one hand, it delays gastric emptying and inhibits acid secretion to protect against reflux