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It maintains a healthy blood sugar level and enhances insulin sensitivity by increasing the synthesis of insulin when blood sugar levels are elevated and decreasing the amount of glucose generated by the liver

In this case, medications approved to treat type 2 diabetes may have been used off-label for obesity management because there was a shortage of those that were approved for weight loss, such as Wegovy

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Constipation or diarrhea may emerge as the dominant symptom

Summary: Retatrutide may indirectly reduce vitamin B12 levels by substantially lowering dietary intake, though no direct pharmacological effect on B12 absorption has been confirmed