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Early signs of declining B12 levels include profound fatigue, tingling or numbness in extremities, cognitive changes, and balance problems requiring medical review

[16] [18] Healthcare providers should weigh the anticipated benefits against potential risks and consider alternative routes or lower doses when appropriate

But, Vitamin B12 can help repair DNA, making them less effective

That said, many people start to feel a real difference in their appetite within the first couple of weeks on semaglutide

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