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Description
Unlike metformin, which interferes with calcium-dependent B12 absorption in the ileum, GLP-1 receptor agonists do not have a known mechanism that would directly impair B12 absorption or metabolism

Lonn replies

Eating less overall means that meals need to be more nutrient-dense to meet vitamin and mineral needs
Consequences of Low NAD+ Levels Fatigue and slow recovery: Mitochondrial inefficiency leads to ATP shortages