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The medication slows down the movement of food through your gut, Parrella said, which makes the above gastrointestinal symptoms common, in addition to things such as acid reflux, heartburn and burping

In general, when we eat, the blood glucose level rises, and the small intestine secretes hormones known as incretins [1]

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Why Deficiency Matters Even mild deficiency can cause wide-ranging symptoms: Persistent fatigue or low energy Brain fog, mood changes, or poor concentration Tingling or numbness in hands and feet Pale skin or shortness of breath Reduced immune function These occur because B12 is critical for oxygen transport and nerve conduction