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Description

The most obvious sign is a change in appearance

Testing b12 after 6 to 12 months of semaglutide use makes more sense than presumptive supplementation

Once neurological symptoms appear, deficiency may already be advanced - but treatment can still be highly effective when started promptly

Individuals with severe kidney failure, decompensated liver disease, congestive heart failure with fluid overload, non-ketonic hyper-glycemia, or known hypersensitivity to formulation components should not receive glycine