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10.1002/hep4.1309 13 JingZ.OkuboH.MorishigeJ.XuP.HasanN.NagataN.et al (2022)

[127] [128] Synthesis [edit] Biosynthesis [edit] Vitamin B 12 is derived from a tetrapyrrolic structural framework created by the enzymes deaminase and cosynthetase which transform aminolevulinic acid via porphobilinogen and hydroxymethylbilane to uroporphyrinogen III

The mechanisms are similar to most studies, though most studies are more focused on semaglutide (Ozempic and Wegovy)

However, these medications are typically high-cost, limiting access for many Americans

The results were promising: people who continued using semaglutide maintained their weight loss much more effectively than those who stopped the medication