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Additionally, mutations affecting vitamin B 12 transport and intracellular metabolism have been identified (17)

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"Changes in lean body mass with glucagon-like peptide-1-based therapies and mitigation strategies." Diabetes, Obesity and Metabolism

Hecht F, Zocchi M, Alimohammadi F, Harris IS

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Women of Asian and African descent and some from other races with darker skin, eg those with Fitzpatrick skin type IV to VI, commonly seek skin lightening treatments