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A diet inadequate in Vitamin B12 rich foods - particularly in vegetarians and vegans who do not eat animal products

Furthermore, this trend toward increased alpha diversity in the obese groups placed on an LD that had consequently experienced weight loss aligns with clinical observations, where low gene richness has been associated with increased adiposity, insulin resistance, and dyslipidemia 70 while increased gene richness has been observed following dietary intervention in obese and overweight individuals 71

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Cost-efficiency: Long-term, at-home injections can be more budget friendly than repeat clinic visits