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As a Medical consultant , a leading nutrition expert notes , Vitamin B12 deficiency can have serious health consequences, especially for older adults and those following a plant-based diet. When Oral Supplements Arent Enough Oral supplements work for many, but not all

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Currently, mounting evidences suggest that there is a reciprocal influence between the gut and the liver, known as the gutliver axis [43], since the gut microbiota, microbial metabolites, and reciprocal interaction with the immune system influence the outcome of different liver disease

Theres a narrative floating around that GLP-1 medications do the work for you. Theres another narrative that says nutrition should be enough on its own