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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]

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A total of 68 articles were included in the final synthesis (corresponding to the reference list), comprising clinical trials and observational studies of GLP-1RA, mechanistic and immunology papers on GLP-1 signaling and metabolic inflammation, literature on autoimmune thyroid disease pathophysiology, adipokines, Non-alcoholic fatty liver disease (NAFLD)/Metabolic dysfunction-associated fatty liver disease (MAFLD)/Metabolic dysfunction-associated steatotic liver disease (MASLD)/Metabolic dysfunction-associated steatohepatitis (MASH), and gut-thyroid-microbiota interactions

References Bolli GB, et al

Fish: Sardines, salmon, and other fish are excellent sources of B12