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A few require genetic testing to confirm hereditary intrinsic factor deficiency before approving injectable therapy, despite pernicious anemia predominantly being an acquired autoimmune condition

According to KFF, both GLP-1 prescriptions and gross spending (Medicaid spending before drug rebates are applied) on GLP-1s have increased rapidly within state Medicaid programs in the past few years

There is around a 2.5-fold increase in B12 deficiency incidence in those treated with metformin, and this may occur as early as 3 months, although hepatic stores of vitamin B12 may take 5 years or more to deplete (Bell, 2022)

Clinical practice guideline: Bell's palsy