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These options are usually best suited for people whose deficiency comes from not getting enough B12 in their diet, a common issue for vegans and vegetarians

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Gallbladder disease: Incretin-based therapies have been associated with an increased risk of cholelithiasis (gallstones) and cholecystitis (gallbladder inflammation), as noted in the UK SmPCs for licensed comparators such as semaglutide and tirzepatide