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LaFountain added the mechanistic dimension that moves this argument beyond a simple risk-benefit calculation and into the biology of why GLP-1 medications may actually support muscle preservation rather than undermining it

Patients should consult their GP for appropriate B12 testing and treatment, avoiding unregulated sources due to risks of contamination, incorrect dosing, and delayed diagnosis of underlying conditions

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Daily ODTs may still be useful for selected patients, especially when needle avoidance is the primary barrier to starting treatment