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Sample collection This study was approved by the Institutional Bioethics Committee of Eulji University (EMC 2016-08-009-010, October 10, 2016), and written informed consent was obtained from the participants

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GLP-1 acts on the pancreatic -, -, and -cells, where it stimulates insulin secretion, inhibits glucagon secretion and stimulates somatostatin release, respectively

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Moreover, those who combine diet with intense physical activity or high-output cardio may experience increased fatigue if B12 levels are not optimal