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[12] If a pregnant patient has a true biotin deficiency (which is rare), a doctor may prescribe biotin supplementation, and this would be managed carefully

And it suppresses glucagon release, which helps regulate blood sugar after meals

Additional risk factors include advancing age (due to reduced gastric acid production), excessive alcohol consumption (impairing absorption and storage), and rare genetic disorders affecting B12 transport or metabolism

Several injectable medications have received FDA approval for chronic weight management, though none carry specific labeling for use in post-bariatric surgery patients