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R.BiJ.et al (2017)

However, some people are more at risk of a vitamin B-12 deficiency, including older people, vegetarians and vegans, those with intestinal disorders, and individuals with diabetes, muscular degeneration, or Lou Gehrigs disease

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For semaglutide, these include gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal pain, which are generally transient and diminish over time