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While research on grapefruit and birth control is limited, one study found that grapefruit can increase how much estrogen the body is able to absorb from birth control [16]

Until robust safety data becomes available, avoiding these medications during breastfeeding is the recommended approach to protect infant health

In individuals with confirmed B12 deficiency, correction may help normalise homocysteine metabolism, as deficiency has been associated with elevated homocysteine levels

Vitamin B12 is naturally found only in animal products like meat, fish, eggs, and dairy, or in fortified foods and supplements, as plants do not produce it

It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them