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Minoxidil quality concerns are minimized through Health Canada regulation, but generic products may differ in vehicle formulations affecting tolerability

Semaglutide does not directly affect intrinsic factor production, but the reduced stomach acid environment can compromise the initial separation step that makes b12 available for intrinsic factor binding

2,9,10 At the start of oral vitamin B12 replacement therapy, close monthly monitoring of laboratory results and symptoms is recommended, thereafter annual monitoring should suffice

Vitamin B12 is a water-soluble vitamin that the body needs in small amounts, ideally daily, to function properly

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