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The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency

While the medication helps reduce appetite and improve insulin sensitivity, pairing it with a diet rich in lean protein, complex carbohydrates, non-starchy vegetables, and healthy fats supports muscle preservation, prevents nutritional deficiencies, and enhances long-term weight loss
