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It has not been approved by the FDA or any other major global regulatory body for human therapeutic use

Medications side effects Vitamin B12 Some other prescription medications can directly cause a vitamin B12 deficiency, such as proton pump inhibitors and metformin

doi: 10.1016/j.molmet.2018.12.001 54 LiskiewiczAKhalilALiskiewiczDNovikoffAGrandlGMaity-KumarGet al

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These symptoms occur because semaglutide delays the rate at which food leaves the stomacha process known as delayed gastric emptyingthough this effect may attenuate over time with continued use

doi:10.1111/j.1432-1033.1990.tb15431.x