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Docosahexaenoic acid can be formed from -linolenic acid, an essential fatty acid that must be obtained from the diet or can be obtained directly by consuming foods rich in DHA such as fish or fish oil or supplements containing DHA

However, semaglutide users should avoid assuming supplementation alone reverses fatigue or neuropathythese symptoms warrant biomarker testing and provider evaluation to rule out deficiency of other nutrients (folate, iron, vitamin D) or non-nutritional causes

Hyperhomocysteinaemia, infertility, and recurrent miscarriages are other infrequent symptoms of AIG

In complete blood count (CBC) testing enlarged red blood cells may also be found, a classic sign of vitamin B12 deficiency