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Biomed Chromatogr 18: 813819
In other cases, the cause may be thyroid or liver disease, or a sleep disorder like obstructive sleep apnea
Weekly averages matter more than daily fluctuations
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Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility
The Wegovy SmPC notes that at the maintenance dose, no clinically relevant effect on gastric emptying was observed
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