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Before starting any GLP-1 therapy, ensure your prescriber has reviewed your complete psychiatric medication list

While taking Contrave, do not take any opioid medication, methadone, heroin, or street drugs

Compared to younger individuals, this vitamin deficiency is more common in older adults because of the higher prevalence of food-bound vitamin B 12 malabsorption (atrophic gastritis) and the higher incidence of the autoimmune condition, pernicious anemia (39)