In a retrospective study completed by Nadeem et al., it was shown that GLP-1 RAs are associated with an overall fourfold increase in the retention of gastric contents in both diabetic and non-diabetic patients ( p -value 0.8 mL/kg of gastric fluid content (measured from the aspiration/suction canister)
When these pathways reactivate after deficiency, there may be increased demand for other nutrientsparticularly folate and iron
Oral B12 supplementation (1,000-2,000 mcg daily sublingual methylcobalamin) can replicate the B12 component of MIC injections and is effective for most patients without malabsorption issues
It engages pathways involved in appetite, satiety, and metabolic response, while a licensed clinician determines whether the medication is appropriate for you
Because injections bypass the digestive system and enter the bloodstream directly, they have a 100% absorption rate
Specific products and pricing discussed in person only, in accordance with TGA guidelines