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Higher baseline deficiency risk in the target population Research has consistently shown that individuals with obesity have higher rates of B12 deficiency compared to the general population

This pattern is consistent with what we see across many GLP-1 receptor agonist side effects , where the body needs time to adjust to a medication that fundamentally alters appetite signaling, gastric emptying, and metabolic function

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ED accompanied by genital numbness or tingling suggests a neurological issue

"Current Rutgers assistant Jeff Zaun, George Gelnovatch, a Wall Township native who led Virginia to the 2009 national championship..." Burton, John
