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The MHRA recommends monitoring B12 levels in patients on long-term metformin treatment

For women with vitamin B12 below 358.7 pg/mL, we infer supplementation could improve pregnancy outcomes by restoring homocysteine homeostasis and enhancing oocyte quality, consistent with randomized trials showing that combined B12 and folate supplementation reduces oxidative stress and supports embryo development [7, 8]

With one monthly dose of Ozempic ranging from $1,000 to $1,200, 38 percent of GLP-1 users said they were microdosing to save money