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This starting dose allows patients to acclimate to the gastrointestinal effects of semaglutide while providing consistent methylcobalamin supplementation
Follow-up Repeat broad and inflammation markers after 6-12 weeks if symptoms change or the protocol continues
The result is a gradual depletion of B12 stores that can take months to become clinically apparent but may cause fatigue , dizziness , and neurological symptoms long before a blood test catches the deficiency
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