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Men with elevated homocysteine may also face fertility challenges

GLP-1 receptor agonists like semaglutide and tirzepatide act on incretin pathways through GLP-1 and GIP receptors, with central appetite suppression and slowed gastric emptying as primary mechanisms

Peter Hotez, an infectious disease expert at the Baylor College of Medicine in Texas

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Summary: B12 deficiency may be caused by malabsorption, poor dietary intake and/or pernicious anemia
