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Sin embargo, las dietas veganas, suelen presentar una marcada carencia de este compuesto , razn por la cual se considera adecuado el uso de complementos alimenticios de carnitina en personas vegetarianas y veganas

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

In the high-stakes, competitive marketplace for patients and drug manufacturers alike, the available clinical trials have led to the approval of Wegovy as a popular weight-loss drug ahead of Ozempic, another GLP-1RA

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refrigerate instead