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Vitamin B 12 deficiency is caused by insufficient dietary intake, malabsorption, or increased demand and can result in megaloblastic anemia and various neurological disturbances

People with severe anemia should be monitored for low potassium (hypokalemia), which in rare cases may lead to sudden death

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Many providers use Tesofensine as an add-on rather than a replacement because it helps increase energy expenditure while the GLP-1 continues appetite regulation

A doctor may prescribe you a peptide, but they might also need to document why you cant use other, less legally restricted treatment options