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Left untreated, a deficiency in vitamin B12 can cause irreversible nerve damage and cognitive decline, making early diagnosis and treatment crucial

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"Nothing is known about its short- or long-term effects in humans, the potential impact on the drug's interaction with the GLP-1 and GIP receptors, toxicity, immune reactions, or how it is absorbed, distributed, metabolized, and eliminated," said the letter, which was posted on the company's website

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