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Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12
While gastric emptying is delayed following initiation of continuous GLP-1 infusion, this effect is lost as early as 5 hours after initiation of therapy via modulation of vagal activity [75]
The gap isn't knowledge
This makes weight loss more difficult, even with diet and exercise
These foods add to cravings and energy crashes and have little nutritional benefit
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