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Options include glucagon-like peptide-1 ( GLP-1 ) receptor agonist injections and oral weight loss drugs, such as: Semaglutide (Ozempic , Wegovy ) Tirzepatide (Mounjaro , Zepbound ) Liraglutide (Victoza , Saxenda ) Metformin Topiramate There are also supplements that may support weight loss, like: Protein Fiber Magnesium And lifestyle changes that promote healthy weight loss, including: Eating nutritious, whole foods Drinking plenty of water Doing more movement Getting enough sleep Lowering stress levels B12 supplementation may have a place in your weight loss treatment plan if you have a deficiency

Allergic reactions : Symptoms such as severe swelling, rash, or difficulty breathing require immediate medical attention

"The adolescent and adult form of cobalamin C disease: clinical and molecular spectrum"

The biggest change to current clinical practice is likely to be the advice to consider periodic monitoring of B12 levels in patients taking metformin who are at risk of deficiency, which includes a wide range of our patients living with type 2 diabetes