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Both medications are highly effective and represent massive leaps forward in obesity care, but their biological differences mean they don't produce the exact same results

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Well, normally this vitamin is absorbed in the gut and so a disruption to normal gut function will reduce the amount of vitamin B12 that's being absorbed by the intestines and that will lead to a depletion of the normal body stores, which will then result in a deficiency in this vitamin within the body as a whole