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These uncommon side effects include dizziness with sudden standing, blurred vision, hesitancy in starting urination (in men), and occasional gastrointestinal irritation when taken on an empty stomach

In such cases, someone with the MTHFR gene variation may seem to have elevated levels of B12 (as well as elevated levels of homocysteine), but will actually have low levels of B12 in the form that their body can utilize

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If you have any of the above symptoms, you must make an appointment to discuss these with your GP

The 4mg dose delivered 15.2% weight loss (matching Wegovy) with only 18% nausea

Integrative medicine (Encinitas, Calif.), 13(2), 815