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The rationale is straightforward: GLP-1 agonists can reduce food intake, which may lead to suboptimal vitamin B12 absorption

Alcohol should remain restricted or eliminated even moderate consumption (12 drinks) delays gastric emptying by 3045 minutes and significantly increases nocturnal reflux episodes in GLP-1 patients

Severe gastroparesis or significant gastrointestinal motility disorders also warrant avoidance as GLP 1 induced gastric emptying delays can worsen existing symptoms

While FDA-approved weight loss injections and pills have undergone extensive testing and are generally considered safe, they may not be appropriate for everyone

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