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A practitioner asking should I offer MIC? in 2026 is implicitly asking why would I, when I can prescribe a GLP-1? The honest answers are narrower than the marketing, but they are real: Patients who cannot or will not take a GLP-1

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These dietary choices limit natural sources of B12 to animal products, leading to deficiencies in up to 90% of people adhering to these diets

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