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Nature Metabolism
In a study in Germany of omnivores and vegetarians, none of whom were taking vitamin supplements, those consuming omnivorous diets had higher serum B12 concentrations than the lacto or lactoovo vegetarians both of whom avoided meat, poultry, and fish, who in turn had higher levels than the vegans (Herrmann et al., 2003)
As a GLP-1/GIP/glucagon receptor agonist, it may theoretically delay gastric emptying, which is a class-related effect that could affect the absorption of orally administered medicines
Sleep changes Less consistently reported
Oral is unproven and likely less effective
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