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Alternative therapy use by psychiatric outpatients

2017 March;66(3):587

Although rare, some people taking Rybelsus may experience a severe allergic reaction, kidney or gall bladder problems, low blood sugar (hypoglycemia), pancreatitis (inflammation of the pancreas), diabetic retinopathy, and thyroid cancer

This gradual process often produces natural-looking results that many patients prefer

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team