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Overt folate deficiency is rare in countries with mandatory folic acid fortification programs, affecting less than 1 percent of the population

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For non-diabetic users the question is whether both are needed: tirzepatide is far stronger for weight loss at 5 mg and above, while metformin is cheaper, oral, and more modest

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If you have mild kidney issues (what doctors call Stage 2-3 CKD), it might be worth asking your doctor whether methylcobalamin injections could be better than oral cyanocobalamin supplements