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People who eat a well-balanced diet that includes foods rich in vitamin B12, usually dont need to take additional B12

As a result, less iron becomes available for red blood cell production, contributing to anemia of chronic disease

These include: nausea (reported by ~50% in some weight loss trials, ~20% in diabetes trials), diarrhea (~30% in weight loss trials, ~9% in diabetes trials), vomiting (~30% in weight loss trials, ~4.6% in diabetes trials), and constipation (~30% in weight loss trials, ~11% in diabetes trials)

Your vet will advise on whether oral maintenance is appropriate for your dog

Prefer a non-GLP-1 option