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But for vegans, supplements are a must to avoid deficiency. Malabsorption-Related Deficiency Protocols Malabsorption-related B12 deficiency needs a special treatment

Semaglutide may slightly influence vitamin B12 absorption in some people, but adding B12 is still more of a wellness approach than a proven scientific strategy

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Whilst B12 is water-soluble and excess is excreted through urine, the liver stores substantial reserves lasting several years

[1] [2] Important tirzepatide warnings include potential reduced efficacy of oral contraceptives during initiation and dose increases