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One trial used 2000 g/day vitamin B 12 and demonstrated a mean difference of 680 pg/mL (95% confidence interval 392.7 to 967.3) in favor of oral vitamin B 12

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Mechanism 3: Direct GLP-1 receptor effects on reproductive hormone signaling

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As of mid-2025, retatrutide has not received marketing authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA)

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