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"Treatment of vitamin B12 deficiency Methylcobalamine

Next review due: 5 Jul 2027 5 Jul 2024 | Latest version Last updated by Dr Colin Tidy, MRCGP Peer reviewed by Dr Doug McKechnie, MRCGP Ask, share, connect

Recent multicenter RCTs have demonstrated that SGLT-2Is, 278,337,338,339 GLP-1RAs, 340 and ns-MRAs 329,341,342 offer significant kidney and cardiovascular benefits, regardless of baseline albuminuria, eGFR, or diabetes status

The combined monthly cost of the stack is meaningful but comparable to other premium peptide protocols, and the two-compound approach avoids the escalating cost of adding a third or fourth compound for tissue support