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Besides causing impaired DNA synthesis, this condition can result in blood cells that are: Immature Abnormal Large When your circulatory system struggles to deliver oxygen throughout your body, you may develop fatigue

Slow titration matters more for endometriosis patients because gastrointestinal side effects from GLP-1 medications overlap with endometriosis symptoms

I also note that you have potential thyroid issues - lots of cross-over between thyroid/B12 deficiency symptoms - so might not be easy to sort out which symptoms are due to what

How It Works Semaglutide delays gastric emptying and promotes feelings of satiety by activating specific receptors in the brain and gut

Some studies suggest that individuals with low levels of B12 are more prone to developing age-related cognitive decline and that supplementation can slow down or even reverse certain symptoms of mental impairment