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It also causes cataracts to form faster than normal, resulting in decreased vision

In the STEP 1 extension, participants who came off semaglutide regained roughly two thirds of the weight they had lost within a year, and the improvements in blood pressure, lipids and glycemic markers moved back toward baseline (PMID 35441470)

They might need more B12 than others, so they get enough

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These reports highlight the importance of including B12 deficiency in the differential diagnosis of TMA-like presentations to avoid unnecessary treatments and ensure timely, targeted therapy