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Patients following such a diet, should be advised to take oral vitamin B12 regularly

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One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12

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Testing and Monitoring B12 Levels with Liver Disease Appropriate testing for vitamin B12 deficiency in patients with fatty liver disease requires a targeted, risk-based approach