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This happens for several reasons: Caloric deficit magnitude: The dramatic appetite suppression from semaglutide creates substantial caloric deficits
B12 plays a role in the brain and nervous system, as its required for nerve development, myelination, and function
B12 (hydroxocobalamin is listed as an essential medicine by WHO (see page 19 here) but it seems this is not understood by many GPs
A healthy and balanced diet containing B12-rich foods such as meat, fish, dairy products and eggs is important to reduce the risk of B12 deficiency
Those with gastrointestinal tract problems who cannot absorb vitamin B12 properly
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