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A pill form of semaglutide, called Rybelsus, has been on the market since 2019 to treat diabetes

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Sadly some people with "traditional P,A." either do not produce Intrinsic Factor or if they do, they also produce an antibody which destroys it and it is then called "Autoimmune Pernicious Anaemia"

It is generally thought to be safe, at least in healthy adults

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They can be combined, and in patients with both growth hormone deficiency and insulin resistance the combination addresses the problem from two directions simultaneously