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22, Suppl 3, 2016, pp
Animal studies suggest a potential link to thyroid tumors, although this has not been conclusively observed in humans
UK guidance (MHRA and NICE) advises checking B12 levels in patients on metformin who develop symptoms of deficiency (anaemia, neuropathy) and considering periodic monitoring in those on long-term therapy
NICE also says clinicians should consider stopping semaglutide if a person has lost less than 5% of their initial weight after six months
For this reason, L-carnitine deficiency is quite common among vegetarians and even health-conscious people who simply avoid red meat
Since GLP-1 therapy typically reduces portion sizes by about 50%, making every bite count is crucial
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