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However, retatrutide is not yet FDA approved and availability is limited to clinical trials and research settings

Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )

Methods A multinational and multidisciplinary group of eight practicing experts and opinion leaders in diabetes and endocrinology from various countries across the Gulf region (United Arab Emirates, Oman, Kuwait, Saudi Arabia, and Qatar) convened to establish a consensus group focused on discussing optimal practices for diagnosing and managing PN as a result of its prevalence and challenges in this region

Meganathan, K