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GLP-1 therapy is non-invasive isnt that enough for many patients? For some patients, GLP-1 therapy may be appropriate, especially early or in mild obesity

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It can take many years (approx 20) to develop a deficiency disease in those altering their diet to one lacking in B12 due to reabsorbtion however, if failure to absorb leads to B12 deficiency disease occur within a few years (3-4)