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vegetarian or vegan diets) Age-related absorption decline A vitamin B12 injection delivers B12 directly into the body, bypassing the digestive system and allowing faster absorption

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Abdominal distension, or swelling Abdominal pain Burping (eructation) Constipation Diarrhea Dizziness Dyspepsia, or upset stomach Fatigue Gas (flatulence) Gastroenteritis Gastroesophageal reflux disease (GERD) Hair loss Headache Heartburn Hypoglycemia Nausea Vomiting These side effects may appear mild at first, but they can escalate in severity or because of symptoms of more serious side effects

"When access to these medications is denied, the consequences can be immediate: continued weight gain or regain, increased frustration and the psychological impact from appetite rebound." Alternatives when GLP-1s are not available or affordable Many health care providers continue to counsel their patients to follow a variety of lifestyle adjustments that can have a positive impact on health and weight over time