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Patients using semaglutide typically reduce caloric intake by 20 to 40 percent, often cutting back on b12-rich foods like meat, fish, eggs, and dairy products

Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

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