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Without human trials, every approach is an estimate

The United Kingdom National Quality Assessment Scheme for Haematinic Assays warns against false B12 results and the risk of neurological damage: In the event of any discordance between clinical findings of B12 deficiency and a normal B12 laboratory result, then treatment should not be delayed

This can interfere with establishing or maintaining milk supply

The FDA said patients should also be monitored for depression or suicidal thoughts, and should stop taking Zepbound if symptoms develop