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These GLP-1 medicines are very large molecules, and would not be able to cross the placenta into the fetal blood stream
Some patients may show genetic patterns suggesting robust GLP-1 pathway activation, which could influence whether adding a DPP-4 inhibitor offers meaningful benefit or represents redundant pathway stimulation
Provide results collected within the last 12 months at the time of consultation Collect new labs from any reputable lab
The main reasons to request a formulation without B12 would be a documented B12 allergy (extremely rare) or a preference for managing B12 supplementation separately through oral supplements
Why it matters: Mechanistically sound but still experimental
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