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This low-insulin state, combined with the exclusion of certain plant compounds, may offer unique benefits for weight loss

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Clinical Nuclear Medicine, 2024

[14] [15] It is important to note that routine B12 screening is not currently standard practice for all patients taking GLP-1 receptor agonists, but individualised assessment based on risk factors and symptoms is appropriate clinical practice

The Medicines and Healthcare products Regulatory Agency (MHRA) has said symptoms to look out for include extreme pain in the stomach and back which does not go away