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Non-alcohol related steatohepatitis (NASH) Semaglutide has been granted Breakthrough Therapy Designation by the FDA in the NASH indication and is currently in clinical Phase III

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This subjective improvement could reflect placebo effect, improved overall nutritional status from paying more attention to diet, natural adaptation to the medication over time, or actual b12 repletion if deficiency existed

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Most supplement companies are distributors of products sourced overseas, which makes quality control and verification of ingredients nigh impossible