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Journal of Applied Physiology (2011) 4

Interactions with other substances Retatrutide affects gastric emptying, which means it can alter the absorption kinetics of other substances taken orally

What the science actually says Here is where the marketing and the evidence part ways: Metabolism

Additional tests may include full blood count (to check for macrocytic anaemia), methylmalonic acid and homocysteine levels (which rise in B12 deficiency), and tests for intrinsic factor antibodies if pernicious anaemia is suspected

This is a direct consequence of slowed gastric emptying and increased gastrointestinal transit time