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For background on how the FDA has treated unapproved GLP-1 products, see the February 2026 FDA research-use-only update

In fact, the absorption of B12 requires that you have adequate stomach acid (among many other factors), which means that if you are taking acid blockers for reflux you are likely reducing your absorption of B12

These dietary choices limit natural sources of B12 to animal products, leading to deficiencies in up to 90% of people adhering to these diets

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It is important to find a qualified surgeon who understands this risk and has the technical skills to make the right amount of changes to your nose