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Patients with obesity or edema may have normal or elevated BMI despite significant muscle loss [16]

[121] [123] Malabsorption [edit] Individuals with pernicious anemia do not have the ability to produce intrinsic factor

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Indirect Calorimetry and Respiratory Exchange Ratio Indirect calorimetry estimates energy expenditure and substrate use from oxygen consumption and carbon-dioxide production

Common side effects of Wegovy include: Nausea and vomiting (particularly during dose titration) Diarrhoea or constipation Abdominal pain or discomfort Fatigue and dizziness Injection site reactions Common side effects of ADHD stimulants include: Decreased appetite and weight loss Insomnia and sleep disturbances Dry mouth Increased heart rate and blood pressure Anxiety, nervousness, or restlessness Headache Practical safety measures when using both medications: Monitor nutritional intake carefully : Keep a food diary to ensure you're consuming adequate calories and nutrients