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These include: Paraesthesia (pins and needles) in hands and feet Difficulty walking or balance problems Memory impairment and cognitive changes Mood disturbances, including depression and irritability Visual disturbances (rare, such as optic neuropathy) Gastrointestinal symptoms such as diarrhoea, constipation, or loss of appetite may also occur, particularly when deficiency results from malabsorption

Consult with your healthcare provider to determine if this is a suitable option

The why is my semaglutide pink guide covers the same question for those using the semaglutide analog

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Both bypass the gut, so both produce strong serum levels