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Key takeaways: Vitamin B12 is a cofactor for biological reactions such as creating the myelin sheath in nerve cells and the synthesis of DNA

Since semaglutide further slows gastric emptying as part of its mechanism of action, patients with pre-existing gastroparesis may experience worsening of symptoms including nausea, vomiting, bloating, and abdominal discomfort

[20] [21] Dehydration represents another plausible mechanism, especially in patients experiencing gastrointestinal side effects

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"What is the role of bone marrow aspiration in the diagnosis of megaloblastic anemia?"

Any combination therapy should be implemented under medical supervision with appropriate monitoring