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These symptoms are not easily recognized by patients and physicians as characteristic of MASLD, especially in patients with comorbidities (Younoss et al
PMID 7492947
Certain groups may not get enough vitamin B12 or have trouble absorbing it: Many older adults, who do not have enough hydrochloric acid in their stomach to absorb the vitamin B12 naturally present in food
The drug clearly has so many benefits, but it also has a lot of side effects. It was a combination of those side effects (extreme nausea and GI issues being the biggest complaints) that led people to DM Kardashian Barker requesting an alternative, which motivated her and her team to search for something with less extreme side effects
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