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Patients taking any of these medications along with semaglutide experience multiple simultaneous hits to b12 absorption

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They may only be offered under specific federal guidelines and are not reviewed for safety, efficacy, or manufacturing quality by the FDA

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Pemvidutide, a GLP-1/glucagon dual receptor agonist, significantly reduces liver fat, fibro-inflammation, and bodyweight in patients with non-alcoholic fatty liver disease: a 24-week multicenter, randomized, double-blind, placebo-controlled trial