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It is a distinct condition from simple dietary B12 shortfall, and it needs medical evaluation

A severe deficiency in vitamin B12 can result in demyelination

Common Misleading Comparisons Moreover, Eloralintide is proven better because one short trial showed a larger percentage. As a result, Petrelintide has no GI effects. Favorable averages do not mean no individual side effects

The relationship between B12 and bowel changes is typically indirect, relating more to the supplement formulation, excipients (inactive ingredients), or underlying health conditions rather than the vitamin itself

Reproductive biology and endocrinology : RB&E , 18 (1), 118

Carper, M