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Zepbound is approved for chronic weight management in adults with obesity or overweight with at least one weight-related comorbidity

I read further information on the studies you listed on kidney storage as this seems to be where b12 is mostly found other than the liver

Traumatic Brain Injury (TBI) Tudor et al

Unable to physically see their GP, NHS clinics up and down the country moved their patients off B12 injections to daily oral cyanocobalamin (B12 tablets) on the advice of the British Society of Haematology (GB News is yet to get a response after repeated attempts to contact the BSH)