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Additionally, if your gastrointestinal tract does not function normally, as with celiac disease or Crohns disease, you may have trouble absorbing or releasing vitamin B12, which will affect the levels in your body and how long the vitamin stays there

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While cancer remains uncommon compared to other causes, doctors may order additional testing to rule out gastrointestinal cancers or blood cancers when symptoms continue worsening

Your physician can assess whether the benefits of continuing the weight loss injection outweigh the gastrointestinal burden