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Surgery Stomach surgery such as a gastrectomy which involves removing part of your stomach may increase your risk of developing vitamin B12 deficiency due to reduced absorption Crohn's disease This disease can lead to inflammation of the digestive tract and may reduce how much vitamin B12 your body absorbs What are the symptoms of vitamin B12 deficiency

Weight loss in obese patients Reduction in alcohol intake Avoidance of soft drinks sweetened with fructose Restrict intake of liver, kidneys, fish, yeast extracts, red meat Consider alternative medication if on diuretic for hypertension References Falasca GF

Early trial data suggest retatrutide could lead to greater average weight loss than tirzepatide, but its long-term safety, side effects, and real-world tolerability are still being studied