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Medications Certain medications have the unfortunate side-effect of significantly suppressing gut motility and MMC function, which can lead to bacteria and archaea hanging around in the small intestine

Together, they target the three biggest obstacles to successful long-term weight management with GLP-1 medications: efficacy, tolerability, and body composition

Metabolic pathways: B12 is a cofactor in two critical reactions: Methylmalonyl-CoA mutase: Converts methylmalonyl CoA (from odd-chain fatty acids and some amino acids) into succinyl-CoA, which enters the Krebs (TCA) cycle to make ATP (cellular energy)

Its derived from the naturally occurring peptide in the bodys gastric juice