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Semaglutide and Tirzepatide work by improving satiety, slowing gastric emptying, and enhancing insulin regulation to support significant weight reduction and metabolic improvement

The best results come from correcting deficiency or maintaining levels when you cannot absorb B12 properly

This includes individuals with medical conditions such as pernicious anemia, atrophic gastritis, celiac disease, or Crohns disease, all of which can interfere with B12 absorption

[3] For chronic conditions such as inflammatory bowel disease or persistent gut permeability, longer-duration protocols of eight to twelve weeks have been explored in preclinical literature

Presented for research literature review only Stupnisek M et al

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