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Gastrointestinal side effects such as nausea, vomiting, diarrhea, or constipation are common across GLP-1 therapies

Methylmalonic acid (MMA) and homocysteine levels become elevated in B12 deficiency and offer greater sensitivity, particularly for detecting early or functional deficiency, though MMA rises in renal impairment and availability of these tests varies

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10.20471/acc.2018.57.03.08 Kang Q, Yang C: Oxidative stress and diabetic retinopathy: Molecular mechanisms, pathogenetic role and therapeutic implications

This report by The Canadian Press was first published June 29, 2026