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V., Vandenabeele, P
Some studies suggest that GLP-1 medications may impair B12 absorption, either directly or by affecting stomach acid production
FDA labeling notes that delayed gastric emptying may affect absorption of oral medications and that these agents are not recommended for patients with severe gastroparesis
[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency
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