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This ratio is consistent with what most pharmacological weight loss interventions produce, though it is slightly more favorable toward fat loss than what surgical interventions typically achieve
Handle with appropriate laboratory safety protocols
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Coming off the peptides doesn't reverse the repair that occurred
Vegans and vegetarians are at particular risk, since B12 is found almost entirely in animal products
A 2021 review published in Nutrients found that GLP-1 receptor agonist use was associated with reduced dietary intake of multiple micronutrients including B12, particularly in patients following calorie-restricted eating patterns, supporting the rationale for monitoring B12 status during treatment even in patients without pre-existing deficiency risk factors
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