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Contact your GP if you experience persistent or worsening sleep problems that coincide with starting B12 supplements, particularly if accompanied by other symptoms

Vitamin B12 deficiency can affect many important functions in the body

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That doesn't mean every person will have them, but this issue comes up often enough that I discuss it early rather than waiting for patients to bring it up after weeks of frustration

But there are things that can help reduce weight gain

This collaborative approach allows your medical team to establish baseline kidney function, review your methotrexate dosing and tolerance, and determine the safest semaglutide initiation strategy