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Mutations in the CBS pathway can cause a condition known as homocystinuria, an outcome of higher homocysteine levels (hyperhomocysteinemia)

Other causes of iron deficiency can include infections, surgical procedures associated with damage/resection of the duodenum and proximal jejunum, and renal diseases

10.1111/j.1469-7793.1997.333bh.x 54 ShibasakiT.TakahashiH.MikiT.SunagaY.MatsumuraK.YamanakaM.et al (2007)

You do have to go to the gym

Stop using Ozempic and call your health care provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without nausea or vomiting