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It prevents progression of anemia and nerve damage by supplying B directly, even when intrinsic factor (the gastric protein needed for oral B12 absorption) is lacking

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[5] [7] A similar approach may be prudent for patients on GLP-1/GIP medicines, especially those with additional risk factors such as vegan diets, previous gastric surgery, or concurrent metformin use

Biomed Pharmacother 129:110485 Devos D, Krystkowiak P, Clement F, Dujardin K, Cottencin O, Waucquier N, Ajebbar K, Thielemans B, Kroumova M, Duhamel A, Destee A, Bordet R, Defebvre L (2007) Improvement of gait by chronic, high doses of methylphenidate in patients with advanced Parkinsons disease