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As a physician with extensive neuromodulator experience and a focus on precision injections, Dr
Neurological symptoms are among the most clinically significant and may include: Tingling, numbness, or a 'pins and needles' sensation in the hands and feet Difficulty with balance and coordination (sensory ataxia) Memory problems, cognitive slowing, or confusion Mood changes, including low mood or irritability Haematological symptoms may include: Persistent fatigue and weakness Breathlessness on exertion Pallor or a slightly yellowish tinge to the skin A sore, inflamed tongue (glossitis) It is worth emphasising that neurological damage from B12 deficiency including subacute combined degeneration of the spinal cord can progress and become irreversible if treatment is delayed, even in cases where anaemia is absent
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Understanding the pharmacokinetics helps explain how long semaglutide takes to suppress appetite and why consistent weekly dosing matters for sustained results
These effects happen whenever you eat fat, creating a constant reminder to avoid dietary fat
