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Furthermore, practitioners encounter various challenges when managing GLP-1 agonist non-responders and patients seeking GLP-1 non-injectable alternatives when first-line treatments prove ineffective

PubMed Central, Li, Li, et al

It affects roughly 2.3% of adults in the U.S

Only once you get close to eating the amount of animal products as specified in the Eat Lancet recommended diet (or less), you will have to start thinking about adding plant-based foods fortified with B12 or about taking B12 supplements