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It is also used to treat pernicious anemia, vitamin B 12 deficiency (due to low intake from food or inability to absorb due to genetic or other factors), thyrotoxicosis, hemorrhage, malignancy, liver disease and kidney disease

When pharmacotherapy is needed, alternatives include phentermine-topiramate (Qsymia), which requires monitoring for psychiatric effects and is contraindicated in pregnancy

Based on the findings and wellness goals, a suitable peptide formula is selected

Interactions between foods and oral or injectable forms of methylcobalamin are not expected

Cell 157 , 15351551 (2014)

The mechanism of action is the same as GLP-1, including stimulation of insulin secretion, slowing gastric emptying, and reducing postprandial glucagon secretion in a glucose-dependent fashion