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doi:10.1053/j.gastro.2025.06.003

In people whose vitamin B 12 deficiency is related to overgrowth of intestinal bacteria, treatment with oral antibiotics such as tetracycline (sold under several brand names) may stop bacterial overgrowth and allow the absorption of vitamin B 12 to return to normal

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The treatment is designed not only to lighten pigmentation but also to enhance overall skin health by neutralizing toxins, reducing oxidative stress, and boosting cellular repair

[33] Studies suggest that tirzepatide can lower the risk of cardiovascular disease and improve cardiovascular outcomes: GIP and GLP-1 are natural incretin hormones that play a role in liver function