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If you suspect you have B12 deficiency then its probably a good idea to run a trial of B12 supplementation simply because taking B12 is safe as long as your kidneys are functioning
Do you have any neurological symptoms eg tingling, pins and needles, memory problems, balance issues, tinnitus, tremors etc
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The logic behind pairing cagrilintide with retatrutide follows the same principle, but with an even more powerful base compound

[DOI] [PubMed] [Google Scholar] 43.Gut microbiota derived metabolites in cardiovascular health and disease