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Anti-obesity, or weight loss drugs can help

GLP-1 receptor agonists, including semaglutide and tirzepatide, mimic hormones that regulate appetite, gastric emptying, and blood sugar

The digestive bypass ensures they receive therapeutic B12 levels regardless of gut health status

Eli Lilly is not developing a generic semaglutide (it competes with its own GLP-1 agonist, tirzepatide), but the company has filed patents for combination products containing semaglutide plus other agents