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Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

GLP-1RAs alleviate liver injury by inhibiting hepatocyte apoptosis and promoting the TFEB-dependent transcription of lysosome-related genes, which stimulates hepatocyte autophagy to prevent lipid accumulation (Elsiad et al., 2025

And how common is it

Your GLP-1 Beverage Strategy: Mingle Mocktails & Mingle Mood Mingle Mocktails: Social Hydration Done Right Low sugar - No blood sugar spikes or empty calories Clean ingredients - No artificial sweeteners Sparkling & satisfying - Feel included at any event Hydrating - Helps meet your daily fluid needs Mingle Mood: Functional Support for Your Journey Managing GLP-1 side effects and lifestyle changes can be stressful

It targets the overproduction of sugar in the liver and increases the patients metabolism