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This results in enhanced insulin response and reduced glucagon levels, outperforming the impact of either GIP or GLP-1 therapies when used independently

Intravenous administration might be better in some cases

C.FungC.FallesenT.et al (2020)

Factors that can increase the risk of B12 deficiency include being over the age of 75, digestive absorption issues, autoimmune conditions, and certain diets like vegetarianism and veganism