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Common side effects of semaglutide include gastrointestinal side effects such as nausea, vomiting, diarrhea or constipation, abdominal pain, gas, and indigestion

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Feeling hot or cold Unusual hunger and weight gain Dry mouth Fatigue and dizziness Heart problems such as abnormal rhythms Blood pressure changes (increase or decrease) Anecdotal side effects Anxiety and loss of sleep (Taking in AM and early afternoon helped (having doses around 250-350mg))

I see a difference The pharmacy responded quick

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In mammals, cobalamin is a cofactor for only two enzymes, methionine synthase and L-methylmalonyl-coenzyme A mutase (2)