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[DOI] [PMC free article] [PubMed] [Google Scholar] 60.Jikihara H., Qi G., Nozoe K., Hirokawa M., Sato H., Sugihara Y., Shimamoto F

However, these patients had multiple risk factors for b12 deficiency beyond semaglutide use, including previous gastric surgery that permanently alters stomach anatomy and reduces intrinsic factor production