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Because B12 is primarily found in animal products (meat, fish, dairy, eggs), people following vegetarian or vegan diets may be at higher risk of deficiency

These are generally mild to moderate and tend to improve as the body adjusts to each dose escalation step

Gastric emptying is already slowed by the drug

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Many people lack enough Vitamin B12 in their diet, which can sap their energy and leave their nerves feeling off