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It may lead to a condition called gastritisthe inflammation of the stomach liningthat contributes to reduced absorption of vitamin B12 from the food you eat

This dual mechanism explains why the compound produces such pronounced effects on adipose tissue lipid content without affecting lean tissue or overall energy intake in research models

For this reason, it is not uncommon to feel tired and sluggish when vitamin B12 stores are low

Key considerations if a patient discloses combined use include: Gastrointestinal effects : Both agents may independently cause nausea, vomiting, or appetite suppression

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