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10.1016/j.biochi.2013.11.011 40 MontagnerA.PolizziA.FoucheE.DucheixS.LippiY.LasserreF.et al (2016)

These gastrointestinal issues are usually mild and tend to decrease over time as the body adjusts to the medication

People with problems absorbing nutrients due to Crohns or inflammatory bowel disease, celiac disease, pancreatic disease, or weight loss surgery may need to take B12 in different forms that bypass the gut, like injections or sublingual (under the tongue) supplements

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Hartmann-Boyce J, Theodoulou A, Oke JL, et al

If your doctor won't prescribe Zepbound, file a grievance