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A deficiency in Vitamin B might be the reason

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However, in clinical trials, approximately 4-7% of participants stopped taking semaglutide due to gastrointestinal adverse effects

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Dietary Sources for Vitamin B12 and D3 Vitamin B12 Red meat (beef, lamb) Poultry Fish (salmon, tuna, sardines) Eggs Dairy products (milk, yogurt, cheese) Fortified cereals and plant-based milks Vitamin D3 Sunlight exposure (primary source) Fatty fish (salmon, sardines, mackerel) Egg yolk Cod liver oil Fortified dairy and cereals Despite these sources, multiple studies show that diet alone often fails to meet optimal levels, making vitamin d3 and b12 together supplementation common

Figure 1 : The biliary system