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Monitoring schedule Healthcare providers who specialize in GLP-1 therapy typically recommend this monitoring cadence: Baseline: Full B12 panel before starting semaglutide 3 months: Repeat serum B12 and MMA 6 months: Full panel reassessment Annually: Once stable, annual monitoring is usually sufficient For high-risk patients (metformin users, vegans, those over 60, post-bariatric surgery), the 3-month check is particularly important

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May 2012;8(3):183-190

A B12 injection bypasses the gut entirely

Reducing inflammation: While inflammation is an essential part of the recovery of any tissue, excessive inflammation can lead to the production of active radicals and cause further damage to injured tissue