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Lertsethtakarn et al

According to Harvard Medical School, people with cobalamin deficiency may experience subtle but unusual and progressive signs of illness, including strange tingling or numb sensations, difficulty walking, cognitive and memory issues, and weakness

Metabolism 62 , 14551461 (2013)

Other reported effects Beyond GI symptoms, clinical trials noted several other effects worth monitoring: Increased heart rate: A small, dose-dependent increase in resting heart rate was observed, consistent with what occurs with other GLP-1 agonists