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People with malabsorption or gastrointestinal disease Conditions such as pernicious anemia, post-gastric surgery states, celiac disease, long-term proton pump inhibitor use, or other malabsorption syndromes reduce absorption of B12 from food and pills

5: Tired, Bloated, Moody The Hidden Root Causes Discussion of the interconnected causes of fatigue, bloating, and mood instability covering gut health, hormone imbalance, inflammation, and how Medically reviewed by Dr

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GIP receptor agonism Retatrutide activates glucose-dependent insulinotropic polypeptide (GIP) hormone receptors to enhance insulin secretion and glucose reuptake in cells and slow down gastric emptying

While some yeast spreads, soy milks and soy-based meat-replacement products are fortified with B12, it is recommended that vegetarians and vegans take a supplement in order to maintain adequate levels