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[107] Anti-seizure medications phenobarbital, pregabalin, primidone and topiramate are associated with lower than normal serum vitamin concentration

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They are most commonly used alongside primary weight loss medications like semaglutide or tirzepatide, but are also available as a standalone option

This condition has not been studied extensively in the Indian context, as it is thought to be more prevalent in Northern European populations, when compared to those in Asia

This includes: People with Pernicious Anemia: An autoimmune condition that prevents the absorption of B12 from the gut