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The researchers used two standard laboratory tests

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the NHS provides B12 shots based on clear clinical need, so the blood test is the crucial first step to getting a prescription

Conversely, some studies show that a deficiency in vitamin B12 may cause appetite loss, potentially leading to weight loss if left untreated ( If youre low or deficient in B12, your healthcare provider will likely recommend oral vitamin B12 supplements or injections to increase your blood levels ( summary Low levels of vitamin B12 can cause megaloblastic anemia, which is characterized by shortness of breath, headaches, and fatigue

These variants don't determine outcome but may help contextualize why one person succeeds with tirzepatide while another responds better to semaglutide

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