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Most (2938) though not all (3941) studies, have shown increased caloric intake in the luteal phase

Vitamin B12 testing is recommended for symptomatic patients, particularly those also taking metformin, rather than routine supplementation

GLP1 agonist therapy may be used to address medically supervised weight reduction, obesity-related comorbidities, and longer-term weight management in appropriately evaluated patients

Serum B12 levels may therefore serve as a marker of hepatic injury, with higher levels sometimes correlating with disease severity

The goal is to reach an effective maintenance dose for weight loss or blood sugar control while minimizing adverse effects