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While studies in mice indicate the potential direct benefits of GLP-1 on the skeletal muscle and bone, human data supporting this hypothesis are absent owing to the absence of GLP-1 receptors in the human skeletal muscle, implying that any effects on muscles are likely indirect [114]

doi: 10.1136/bmj.l2185 19

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Summary: Elevated vitamin B12 does not directly indicate cancer, though persistently high levels may occasionally be associated with certain malignancies and warrant clinical evaluation to exclude underlying pathology