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Of particular note is that several cohort studies have found that high folate status (typically indicated by elevated serum folate concentrations) is associated with apparently exacerbated outcomes in individuals with low vitamin B12 status (typically indicated by low serum B12 concentration or elevated MMA concentrations), including higher risk of anemia and cognitive impairment (79), and accentuated elevations of blood homocysteine and MMA (80, 81)
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A Phase 2 randomised controlled trial published in the New England Journal of Medicine in 2023 (Jastreboff et al., NEJM 2023) reported that participants receiving higher doses of retatrutide (up to 12 mg) achieved mean body weight reductions of approximately 1724% over 48 weeks
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