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GLP-1 receptor agonists represent a therapeutic class of medications that enhance the activity of the incretin hormone system, which plays a fundamental role in glucose homeostasis

"CVS Caremark stopped covering a GLP-1 for obesity

So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

Direct Meds medical providers typically review every intake form within 6 hours