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Keeping track of symptoms and staying in touch with healthcare providers can help catch issues early

Symptoms of Vitamin B12 Deficiency The symptoms of a Vitamin B12 deficiency can be wide-ranging and are often mistaken for other health issues

Increases in resting heart rate are a recognised class effect of incretin-based therapies and have been reported with GLP-1 receptor agonists more broadly, as reflected in the Summary of Product Characteristics (SmPC) for licensed agents such as semaglutide (Wegovy) and liraglutide (Saxenda)

The most important takeaway is that peptides should not be approached casually

Also, while the manufacturers of metformin recommend against breastfeeding while taking the drug, data have shown that metformin is excreted into breast milk in small amounts and adverse effects on infant plasma glucose have not been reported in human studies

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