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Most patients present with legs and arms weakness, pain, tingling, burning sensation, sensory alteration, bladder dysfunction, urinary retention, defecation disturbance, paraplegia, and hyperactive reflexes (223, 227)

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Since semaglutide already impairs the normal B12 absorption pathway, using a form that requires fewer metabolic steps to become active reduces the total burden on an already stressed system

It is distinct from D51.9, which covers unspecified B12 deficiency anemia

In addition to a healthy diet, regular physical activity is also crucial for effective weight loss

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