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Age-Related Decline: As we age, our stomach acid naturally decreases, making it harder to extract B12 from our diet

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A PubMed Central-hosted review of peptide-based obesity treatments describes "nausea, vomiting and loss of appetite" as common effects of the GLP-1 drug class (pmc.ncbi.nlm.nih.gov)

These drugs, also known as GLP-1 receptor agonists, imitate natural hormones that control appetite and insulin levels