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Fatigue on GLP-1 medications is typically caloric-restriction-related, not oxidative-stress-related

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However, even lacto-ovo-vegetarians run the risk of becoming deficient in B12

Many people are susceptible to vitamin B12 deficiency, amongst them are: Vegans and vegetarians are often deficient, due to their special diets not including many B12 rich foods such as cereal (fortified), eggs, chicken, milk, cheese, shrimp, oysters, clams, mussels, sardines, trout, and salmon

However, these effects are expected with the procedure rather than specific to the peptide

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