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Vitamin B12 is abundant in diets that include meat and dairy products, although deficiency can occur in those with malabsorption syndromes (2) or those who take medications for gastric disorders (3) (4) , for conditions associated with insulin resistance (5) , or in those who follow a strict vegetarian diet (6)

Examples include lithium and antacids, such as TUMS

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Additionally, if you are taking other diabetes medications alongside semaglutide, reduced semaglutide effectiveness could disrupt your overall treatment regimen and glycemic targets