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The deficiency of vitamin B12 is also known to increase the risk of heart attack and stroke

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Rare side effects: itching, exanthema, chills, fever, hot flushes, nausea, dizziness, and very rarely anaphylaxis

Alternatives and Next Steps for Weight or Hormone Management MHRA-authorised weight-management options include semaglutide (Wegovy), liraglutide (Saxenda), orlistat, and tirzepatide (Zepbound)

This timeframe allows assessment of individual response, opportunity to adjust dosing, and generation of meaningful results without committing to an extended protocol