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Not surprising

SGM is a common term among scientific researchers that refers to individuals who identify as lesbian, gay, bisexual, queer (sexual minorities) and/or transgender or gender nonbinary and people with a gender identity, gender expression or reproductive development that varies from traditional, societal, cultural or physiological norms (gender minorities), commonly referred to as a whole as the LGBTQIA+ community

This is because methylcobalamin B12 acts on the bone marrow to normalize red blood cell formation

Contexto de via/mecanismo

The reductions in lean mass do not necessarily indicate pathological muscle loss, as improvements in body composition, physical function, and quality of life have been reported with semaglutide and tirzepatide in subanalyses of the STEP-1 and SURMOUNT-1 programs [7,8]

Not a dealbreaker, but a step behind #1-3 on this list