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Since 2017, the ADA has recommended periodic vitamin B12 testing for individuals treated with metformin, especially in the presence of peripheral neuropathy or anemia [9]

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Pulse & Remedy claims peptide therapy "is considered safe for extended use" without citing a study behind that statement, underscoring the regulatory gap between non-prescription peptides and FDA-approved GLP-1 drugs

doi: 10.1002/phar.2797 [PubMed] 37259844 Johannessen Landmark C, Eyal S, Burns ML, Franco V, Johannessen SI