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In a trial of patients with T2DM and a BMI of 27 kg/m2 or greater being treated with semaglutide injection for weight loss, clinically significant hypoglycemia (plasma glucose less than 54 mg/dL) was reported in 6.2% of semaglutide-treated patients versus 2.5% of placebo-treated patients

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Therefore, monitoring B12 status in patients with fatty liver disease is clinically prudent when risk factors or symptoms are present, particularly in those with advanced disease

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If you have a vitamin B12 deficiencyperhaps due to conditions like pernicious anemia, certain digestive disorders, or a strict vegan dietyou may experience symptoms such as fatigue, weakness, and low energy

Even some common medications, particularly those for managing acid reflux or diabetes, can interfere with this process over time