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Excretion Renal elimination is the primary route for GLP-1 RA clearance (23)

Transcriptional profiling of diabetic neuropathy in the BKS db/db mouse: a model of type 2 diabetes

Older adults, those with digestive conditions (like celiac disease or Crohn's), people who have had gastrointestinal surgery, and those taking certain medications (like metformin or proton pump inhibitors) may also have reduced B12 absorption.*