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Author Contributions Concept and design: Rohan Singhal, Dheerja Sachdeva, Kevin Wortman II, Rekha Lall Acquisition, analysis, or interpretation of data: Rohan Singhal, Dheerja Sachdeva, Kevin Wortman II Drafting of the manuscript: Rohan Singhal, Dheerja Sachdeva, Kevin Wortman II Critical review of the manuscript for important intellectual content: Rohan Singhal, Dheerja Sachdeva, Rekha Lall Supervision: Kevin Wortman II, Rekha Lall References 1.American Gastroenterological Association technical review on the diagnosis and treatment of gastroparesis

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Baseline B12 assessment should be considered before starting GLP-1/GIP therapy, particularly in patients taking metformin, following plant-based diets, or with malabsorption conditions