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A recent analysis of the USFDA Adverse Event Reporting System revealed that patients taking both metformin and a PPI experienced significantly higher rates of hospitalizations and life-threatening complications related to B12 deficiency (such as severe neuropathy and cognitive decline) compared to those on monotherapy

Akkermansia muciniphila is a beneficial gut microbe that lives in your intestinal mucus layer

It supports: Healthy Red Blood Cell Formation: B12 is necessary to create red blood cells, which carry oxygen throughout your body

Munipalli B, Strothers S, Rivera F, Malavet P, Mitri G, Abu Dabrh AM, Dawson NL

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However, exercise does potentiate many of the outcomes you are taking semaglutide to achieve