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This is because hypokalemia and thrombocytosis could occur due to the increase in erythrocyte metabolism following vitamin B12 therapy

Exp Hematol Oncol (2014) 3(1):26

Persistent tiredness and fatigue Weakness or muscle fatigue A pale or slightly yellow tint to the skin A sore or inflamed tongue Pins and needles or numbness in the hands or feet Difficulty with memory or concentration Low mood or irritability Who Needs a Vitamin B12 Injection

Anyone who experiences new or worsening allergy symptoms while on semaglutide should consult their healthcare provider for advice

Because of this, weight loss can occur and there can be an improvement of performance and endurance