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Contact your trial team or GP promptly if you experience: Persistent or severe nausea, vomiting, or diarrhoea that prevents adequate fluid or food intake Signs of dehydration, such as dizziness, dark urine, or reduced urination Severe or persistent abdominal pain, which may rarely indicate pancreatitis a known risk with GLP-1 receptor agonist therapies or gallbladder problems [18] [21] Rapid or irregular heartbeat (palpitations) Significant injection site reactions, including signs of infection (redness, warmth, swelling, or discharge) Symptoms of low blood sugar (hypoglycaemia) if you are also taking insulin or a sulfonylurea, such as shakiness, sweating, or confusion If you are unsure whether your symptoms require urgent attention, contact NHS 111 (by phone or online at 111.nhs.uk) for advice

You may be low in B12 if you are: Following a plant-based or vegetarian diet Experiencing chronic stress or burnout Taking certain medications (like metformin or acid blockers) Over 40 natural absorption decreases with age Diagnosed with digestive issues like IBS or low stomach acid Deficiency doesnt always show up in blood tests right away, but the symptoms are often unmistakable: Brain fog Fatigue Dizziness Pins and needles Low mood or anxiety Poor memory Why Injections Instead of Pills

Wang L, Berger NA, Kaelber DC, Davis PB, Volkow ND, Xu R Incidence Rates and Clinical Outcomes of SARS-CoV-2 Infection With the Omicron and Delta Variants in Children Younger Than 5 Years in the US

Endocrinology 141 , 12281235 (2000)

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