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Balance is key

this destruction of tissues other than the cancer is called off-target toxicity )

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If symptoms do not improve over several weeks or worsen after stopping semaglutide, further investigation and gastroenterology referral may be warranted to consider alternative diagnoses

Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12