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The threshold for diagnosing vitamin B12 deficiency is a matter for debate

10.2337/dc11-s227 19 IsmailS.Dubois-VedrenneI.LavalM.TikhonovaI

The British Menopause Society confirms there is no official contraindication to using GLP-1 receptor agonists concurrently with hormone replacement therapy

Interestingly, GLP-1 receptor agonists resist degradation by the enzyme DPP-4 (dipeptidyl peptidase-4), which usually breaks down natural GLP-1 and reduces its activity [4]

Funding The author(s) declare financial support was received for the research, authorship, and/or publication of this article

The patient is now experiencing discomfort associated with voice use and difficulty projecting her voice without significant effort