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Vitamin B12 Deficiency Causes of vitamin B12 deficiency include difficulty absorbing vitamin B12 from food, lack of intrinsic factor (e.g., because of pernicious anemia), surgery in the gastrointestinal tract, prolonged use of certain medications (e.g., metformin or proton pump inhibitors), and dietary deficiency

Soon after Mounjaro went to market, there were reports of severe side effects, including gastroparesis and gastroenteritis

This is doubly true if you dont experience any relief after expelling vomit

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DSIP is naturally secreted from your hypothalamus and acts on downstream regions such as your brainstem