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Conditions affecting the small intestine, such as malabsorption syndromes (celiac disease and tropical sprue), may also result in vitamin B 12 deficiency

It also helps to maintain healthy skin, nails, and hair

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There are use patches that transfer B12 through the skin, yet these patches are limited by how much B12 can be naturally absorbed by the skin and transferred into the blood stream

Since levothyroxine requires an acidic gastric environment for optimal dissolution and absorption, and its absorption can be affected by the rate of gastric emptying, patients may experience variations in thyroid hormone levels when starting semaglutide therapy