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Be aware that sublingual B-12 supplements often contain sugar substitutes such as sorbitol, mannitol or sucralose, which can cause gastrointestinal symptoms in some people

A large cohort study of 461,382 GLP-1 users found that 12.7% of patients had a new nutritional deficiency diagnosis at just 6 months of therapy

doi: 10.2165/00007256-200434080-00003 68 Skrzypiec-SpringMRozmusJAbu FarajGMielczarekMSroczynskaPSroczynskiJet al