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Semaglutide mimics GLP-1, a hormone that helps increase insulin response after meals, slows digestion, reduces appetite and increases feelings of fullness

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That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12

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Ingredients: Microcrystalline Cellulose, Vegetable Cellulose, Vegetable Magnesium Stearate, Silica

The compounds were detected with a 6495 C Triple Quadrupole LC/MS (Agilent) mass spectrometer equipped with a jet stream electrospray ion source operating in positive ion mode