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Rybelsus slows gastric emptying, which may delay paracetamol absorption, but this does not typically reduce its pain-relieving or fever-reducing effectiveness

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No studies have directly evaluated the cardiovascular effects of correcting vitamin B 12 deficiency in patients with known cardiovascular disease, although numerous studies have failed to demonstrate that correction of hyperhomocysteinemia itself reduces cardiovascular mortality or cardiovascular complications

But be aware that non-surgical methods will not likely achieve the same results that surgery would