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Yes, most vegans and vegetarians can maintain adequate B12 levels through consistent use of oral or sublingual supplements and B12-fortified foods such as fortified plant milks, nutritional yeast, and fortified cereals

Common GLP-1 side effects (nausea, constipation, appetite suppression) remain dose-dependent and manageable through titration

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You need predictable, steady medication levels with proven efficacy for weight loss or metabolic improvements