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However, we emphasize that GLP-1 medications are most effective when integrated into a holistic treatment plan

Together, they can improve blood glucose control and support meaningful weight reduction

Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal, further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly (for parenteral supplementation) or daily (for oral supplementation)

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