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Vegans and Vegetarians : Since B12 is primarily found in animal products, those following a plant-based diet are often at risk of deficiency

Taken together, the findings suggest that while both interventions provided some degree of short-term symptomatic relief, the mechanical needling and sterile water approach demonstrated superior and longer-lasting efficacy in reducing axial and radicular pain, as well as enhancing ambulatory function, in older patients with lumbar spinal stenosis [63]

Rhonda : They do

Nat Rev Endocrinol 9 , 346356 (2013)

You can find additional information about the risks of FDA-approved medications that contain semaglutide here