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Certain populations are at higher risk of vitamin B12 deficiency, including older adults (due to reduced gastric acid production), individuals following strict vegan or vegetarian diets, those with pernicious anaemia (an autoimmune condition affecting intrinsic factor production), patients who have undergone gastric or ileal surgery (including bariatric procedures), and those taking medications that affect gastric acid secretion (such as proton pump inhibitors or H2 antagonists) or intestinal absorption (including metformin)

This side effect is typically mild to moderate in severity and tends to improve over time as the body adjusts to the medication

however, these events remained relatively uncommon, affecting fewer than 5% [13, 40, 42, 44,45,46] and 1% [13, 39, 42, 44] of semaglutide-treated participants, respectively

Nirala Jacobi: It's just I don't think it's doing us any favors because then what

Prior authorization is where most approvals are won or lost, says Dr