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Practices that offer B12 injections to every walk-in without any laboratory assessment are operating on a wellness-mill model rather than a medically supervised one

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The dedicated FLOW trial of subcutaneous semaglutide in T2D-related CKD showed a 24% reduction in the composite of major kidney disease events (HR 0.76, 95% CI 0.660.88) and significant reductions in cardiovascular outcomes [22], supporting GLP-1RA therapy as an evidence-based addition for cardiorenal protection in this population

Pechenov S, Revell J, Will S, Naylor J, Tyagi P, Patel C, et al

Because absorption depends on it