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Semaglutide does not directly affect intrinsic factor production, but the reduced stomach acid environment can compromise the initial separation step that makes b12 available for intrinsic factor binding
Surgery: Indicated for complete structural tears but involves prolonged recovery, scar tissue formation, and variable long-term outcomes in chronic cases
Subjective indicators also matter
It helps restore the gut lining often damaged by antibiotics, mold toxins, or persistent infections
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