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Saxenda may cause nausea, vomiting, or diarrhea leading to loss of fluids (dehydration)

chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease

Follow the prescribed duration of therapy

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doi: 10.1210/en.2019-00442 18 HeardM