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The exact mechanism isnt known, but constipation and fatigue are two common symptoms of low B12

The results showed a significant statistical correlation between DPP-4 inhibitors and AEs related to biliary diseases, while GLP-1 RAs exhibited strong signal intensity, suggesting a possible association with biliary diseases

Data availability No new datasets were analyzed or generated in this review article

10.1038/s41574-020-0355-7 51 Diagnosis and Classification of Diabetes Mellitus (2013)

Drawing 25 units from a 20mg/mL vial gives you 5mg