The first step is to measure cardiovascular risk more accurately, think in cumulative exposure rather than only 10-year horizons, use apoB where possible and especially where standard markers are most likely to underrepresent risk, intervene earlier when trajectory, family history, metabolic phenotype, or imaging suggest that the risk is being understated, and keep treatment burden proportional to the quality of evidence and the person in front of the doctor
The B12 injection uses a different mechanism of absorption and does not interact with GLP-1 pharmacokinetics
11 Gallstones are significantly more common in women than in men
Ulanovskaya, O
While most get enough through a balanced diet, there are other factors that can mean your B12 levels are lower than recommended
Scientific Reports , 8 (1), 12914