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Case summary A 67-year-old woman presented to the hospital with a 6-month history of fatigue and unintentional weight loss from loss of appetite and was found to have antibodies against intrinsic factor on laboratory workup after undergoing upper endoscopy

This is particularly important for individuals with conditions that interfere with B12 absorption, such as pernicious anemia, gastrointestinal disorders like celiac disease or Crohns disease, or those who have undergone certain types of gastrointestinal surgery

However, if you also take sulfonylureas or insulin, the risk increases significantly and dose adjustments may be needed

Clinical trials would need an IND protocol

If necessary, however, Wegovy can be kept at room temperature for up to 28 days

"Treatment of vitamin B12 deficiency Methylcobalamine