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One reason to doubt the link is that B 12 deficiencies are most common in people older than 50

Li Y, Li Y, Wu S, et al

10.1074/jbc.R113.458810 23 GreenR

Key Takeaways Nausea, vomiting, diarrhea, constipation, and abdominal pain are among the most commonly reported semaglutide side effects

Why titration matters for side effect management The gastrointestinal side effects that concern most researchers occur primarily during dose escalation