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You may be at higher risk if you: Follow a vegan or vegetarian diet Eat very little meat, fish, eggs, or dairy Are over the age of 50 Have digestive conditions affecting absorption Take certain medications, such as metformin or acid-reducing medicines Have had certain stomach or bowel surgery Have pernicious anaemia or absorption problems People in higher-risk groups may benefit from advice, testing, or treatment depending on their symptoms and medical history

Patients should avoid self-sourcing it online and speak with a qualified provider before considering any longevity or metabolic compound

Tirzepatide, for example, can result in significant weight loss over several months, while HCG injections may promote faster weight loss when paired with a low-calorie diet

Statements Data availability statement The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author