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Lead author, Dr Natasha Tyler said: Patients with vitamin B12 deficiency often report feeling marginalised and describe their interactions with primary care as battles and report feeling stigmatised

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Cagrilintide also has one of the lowest GI odds ratios among the incretin and amylin compound class in a 2025 Bayesian network meta-analysis of multi-target obesity therapies the relevance for the stack is that adding cagrilintide to retatrutide may not compound GI burden as severely as adding a second GLP-1 agonist would