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However, study samples have been relatively small (often fewer than 100 participants), and longer-term outcomes beyond 12 weeks remain uncertain

Higher doses consistently showed significant reductions in liver enzymes (AST and ALT), hepatic steatosis, and inflammation, although the effect on fibrosis was limited

Visual Disturbances: Visual disturbances could result from blood sugar fluctuations, blood pressure changes, or other systemic effects of Zepbound

But while short-term benefits are well documented, the long-term safety of GLP-1 drugs remains unclear

However, some may have trouble absorbing B12 or may not consume enough B12-rich foods