Large observational cohorts, cardiovascular outcome trials, and pharmacovigilance analyses have not confirmed a clear increase in medullary thyroid carcinoma among treated patients
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Use long-term medications that affect absorption - Acid-reducing drugs, metformin, and certain antibiotics have been linked with lower B12 levels
Stool softeners like docusate sodium have limited evidence supporting their efficacy as monotherapy but may be combined with other laxatives
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Collecting samples over three days enhances the test's accuracy by accounting for daily variations in stool composition