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The reasons for a vitamin B12 deficiency are manifold: Unfavourable eating habits (for example fast food and convenience food), absorption disorders in older age, a strict vegetarian diet or certain intestinal diseases are frequent causes

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Vitamin B12 is a water-soluble vitamin that plays a crucial role in many of the bodys essential functions

doi:10.1016/j.bone.2005.04.017

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While semaglutide pharmacokinetics are not significantly altered in patients with hepatic impairment, the medication has not been extensively studied in patients with severe hepatic dysfunction