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Standing Intolerance Standing intolerance is a common concern for individuals with spinal stenosis
The addition of semaglutide to this already high-risk group showed further b12 decline, but whether this represents a medication effect, dietary changes from additional appetite suppression, or natural progression of post-surgical deficiency remains unclear
This process stimulates GLP-1 production, as gut bacteria ferment soluble fiber into short-chain fatty acids that further enhance GLP-1 secretion (Ld, 2025)
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