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For iron deficiency anaemia in pregnancy (a related issue), they have stated that it is not clear if pregnant women with mild to moderate IDA will benefit from treatment and theres a lack of evidence on benefits and harms associated with screening. Similar reasoning might apply to B12 deficiency in the absence of strong evidence of benefit from routine screening

doi: 10.1111/jsr.12380

Dose ranges come from allometric scaling (using a math formula to translate a mouse mg/kg dose into a human dose) and from research community use

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Colocalization of glucagon-like peptide-1 (GLP-1) receptors, glucose transporter GLUT-2, and glucokinase mRNAs in rat hypothalamic cells: evidence for a role of GLP-1 receptor agonists as an inhibitory signal for food and water intake