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Investigations editors reply to Holt and to Barnett and OHare

They are not the same

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A person should always consult a doctor before starting or switching to a GLP-1

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Unlike metformin, which has a well-established association with vitamin B12 malabsorption through interference with calcium-dependent B12-intrinsic factor complex absorption in the terminal ileum, there is no official link between GLP-1 receptor agonists and direct B12 depletion