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Description
This paradox may be related to decreased response to vitamin B12.

Malabsorption (insufficient intake of vitamin B12in the intestine) due to insufficient production of intrinsic factor (a protein that is formed in the gastric mucosa and is required for the absorption of vitamin B12), Diseases in the end section of the ileum (part of the small intestine), e.g

Batch and purity data may be available upon request where applicable

Its a dual-action GLP-1/GIP that is approved by the FDA for people with obesity BMI 30, or overweight BMI 27 plus a weight-related condition, along with diet and exercise changes
