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using it to reduce abdominal fat outside that indication is an off-label application that should be discussed directly with a prescribing provider, and like the GLP-1 drugs above, it requires a prescription rather than being sold over the counter
Capsules are generally considered less invasive but may have different absorption and efficacy compared to injectable forms
Presented for research literature review only Barra L et al
A retrospective study looking at concomitant use of proton pump inhibitors (PPIs) alongside metformin in 614 people with type 2 diabetes in the US found a significant reduction in B12 levels of 34% in patients taking both medications, compared to controls taking either drug alone (Long et al, 2012)
