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GIP receptor activation complements these effects by further enhancing insulin secretion and may have effects on lipid metabolism and energy expenditure, though the latter mechanisms are still being characterized in humans

Additionally, weight loss induced by GLP-1RA further enhances insulin sensitivity

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Common causes of B12 deficiency include: vegan or vegetarian diet, age 50+, acid reflux medication (PPIs), digestive disorders, birth control use, heavy alcohol intake, and celiac disease

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