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Your doctor may arrange investigations including a full blood count, serum folate levels, and in some cases, anti-intrinsic factor antibodies if pernicious anaemia hasn't been previously confirmed

Once the initial die-off period passes, its important to shift the focus to rebuilding the gut ecosystem, enhancing digestive function, and addressing any lingering food sensitivities or nutrient deficiencies

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These safety issues exist on top of the normal side effect profile of GLP-1 medications, which already includes nausea, fatigue, and digestive changes

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