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Bowel obstruction Small increases in resting heart rate Thyroid C-cell tumors observed in animal studies Dizziness or lightheadedness Dry mouth or increased thirst Vision changes Dehydration related to excessive vomiting or diarrhea Temporary hair shedding during rapid weight reduction Severe allergic reactions, including swelling of the face or throat or difficulty breathing, require immediate medical attention

doi: 10.1016/j.jconrel.2025.114592 28 ZhangLJiangHMaH

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A raised serum B12 does not damage tissue and is not associated with a recognizable set of symptoms

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