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Like any medication, Semaglutide has the potential for side effects

Unlike full hGH, it focuses solely on lipolysis (fat breakdown) and lipogenesis inhibition (preventing fat formation) without significantly affecting blood sugar levels or increasing IGF-1

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Also, some medications can interfere with B12 absorption

[1] In moderate deficiencies, feeling tired, feeling faint, mouth ulcers, rapid breathing, upset stomach, pallor, hair loss, decreased ability to think and joint pain and the beginning of neurological symptoms, including abnormal sensations such as, numbness and tingling, and tinnitus may occur