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For metformin users, the MHRA recommends periodic monitoring, especially in those with symptoms suggestive of B12 deficiency

74 RA also influences the brain by causing fatigue and reduced cognitive function

Kidney problems Severe vomiting or diarrhea can lead to dehydration

For instance, rapid weight loss can lead to fluctuations in estrogen levels, gut and vaginal flora, or pelvic muscle tone, which may explain symptoms like dryness, discharge changes, or infections

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When the weight comes off really quickly, you have less opportunity to preserve and rebuild your muscle, says Dr