The studies showing significant GLP-1 modulation come primarily from animal models and cell culture experiments
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Vitamin B12 deficiency is more prevalent than many people realise: Around 6% of the UK population has B12 deficiency This rises to approximately 20% in those over 60 An estimated 1 in 10 people in the UK may have inadequate B12 levels 6% of men and 10% of women aged 19-64 have low serum B12 concentrations Among women of reproductive age (19-49), 11% have low B12 Interestingly, research suggests that deficiency is often due to absorption problems rather than dietary intake
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Based on the intention-to-treat analysis, GLP-1RA therapy was linked to a consistently higher risk of the composite herpes outcome than DPP-4i (adjusted HR = 1.06, 95% CI 1.011.11), whereas no excess risk was seen when GLP-1RA was compared with SGLT-2i (Additional file 1: Table S14)