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Darsalia et al., 2013

In evidence-based care, clinicians often slow titration or hold at an intermediate step when side effects kick up, GI comorbidities exist, or drug interactions complicate tolerability

When initiating Ozempic, consider arranging an extra INR check after starting treatment, after dose changes, and following significant gastrointestinal illness

Those amounts do put you over the 2.4 mcg RDA, but the tradeoff is worth it: you dont want to mess around with low B12 levels

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