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Common symptoms include: Weight loss or failure to gain (especially in puppies) Chronic diarrhoea or soft stools Lethargy and general weakness Inappetence or fussy eating Intermittent vomiting Flatulence or digestive discomfort Poor coat condition or dull fur Neurological signs (e.g., tremors, confusion, ataxia) Low folate or folate imbalance on bloodwork In puppies or young dogs with genetic B12 absorption issues, growth may be stunted , and immune function may be compromised

The table frames what is happening biologically against what has been observed in research (on the individual components), deliberately avoiding any personal-result promise

The question of can you use expired semaglutide comes up often, and while the peptide does not become dangerous, it does become progressively less effective