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Unlike sodium-glucose cotransporter-2 (SGLT-2) inhibitorsanother class of diabetes medicationssemaglutide does not alter urinary glucose levels or create a glucose-rich environment in the urinary tract that would promote bacterial growth

Compounded semaglutide offers another pathway for cost savings, though availability and pricing fluctuate

According to the Mayo Clinic, parenteral vitamin B12 therapy is clinically indicated for treating deficiency caused by pernicious anemia, gastrointestinal disorders such as tropical sprue, and conditions resulting in malabsorption like pancreatic insufficiency

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