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[1] Other causes include autoimmune conditions, certain infections, and inflammatory states that alter B12 metabolism or binding protein production

This question has gained attention as GLP-1 receptor agonists like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) become increasingly prescribed for type 2 diabetes and weight management

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Exercise has been shown to upregulate GLUT4 production, offering insight into how physical activity contributes to energy balance and glucose regulation