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Further, a secondary analysis of a trial in women at high risk for or with existing cardiovascular disease reported that high-dose supplemental B-vitamins (1 mg/day of vitamin B 12 , 50 mg/day of vitamin B6, and 2.5 mg/day of folic acid) for 7.3 years had no effect on risk of non-vertebral fractures (122)

From there, the patient and doctor will collectively decide if they think its best to increase the dosage or maintain it at 1mg

10.1016/j.ejmech.2019.01.039 Eur

Eur J Cardiothorac Surg 40(2):328-33, 2011

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Whether initiating GLP-1 RAs earlier - either concomitantly with surgery or immediately upon detecting early weight regain - could improve long-term outcomes remains to be investigated