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doi: 10.1007/s40256-024-00707-8 36 American Diabetes Association Professional Practice Committee

Pinto LC, Falcetta MR, Rados DV, Leito CB, Gross JL

Add-ons like MIC or L-carnitine can be considered case-by-case

When to Seek Medical Advice About B12 Levels Knowing when to consult your GP about vitamin B12 concernswhether related to deficiency or potential excessensures appropriate investigation and management whilst avoiding unnecessary anxiety

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Best practice: take levothyroxine first thing in the morning on an empty stomach, wait 30-60 minutes before eating or taking other oral medications, and administer GLP-1 injections at a separate time (typically weekly)