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The FDA looked through the websites and social media pages of the four companies and found evidence that they were positioning their knock-off GLP-1 products to prevent, treat, or cure disease conditions and/or affect the structure or function of the body, the regulator wrote in all four warning letters

If issues persist after these checks, consult experienced researchers or the peptide manufacturers technical support

Gut Health Issues: Gastrointestinal disorders like GERD, SIBO, and dysbiosis can impair B12 absorption

doi: 10.3389/fphar.2025.1602976 Received 30 March 2025 Revised 13 November 2025 Accepted 14 November 2025 Published 19 December 2025 Volume 16 - 2025 Edited by Bernd Rosenkranz, Fundisa African Academy of Medicines Development, South Africa Reviewed by Kacper Nijakowski, Poznan University of Medical Sciences, Poland Miriam Njoki Karinja, Science for Africa Foundation, Kenya Updates Copyright 2025 Mazur, Ndokaj, Salerno, Vallone, Ardan, Bietolini, Carrouel, Wilk, Sarig, Ottolenghi and Bourgeois

Heliyon 11(1):113