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Recognising a B12 Deficiency (and Why Self-Diagnosis is Risky) Given that a B12 shot only helps fatigue if youre deficient, how do you know if you are

Its unregulated, unsupervised and almost impossible to navigate safely

Although GGT activity elevation is the most sensitive marker of hepatobiliary disease, hepatologists would discourage the routine use of the GGT test, owing to economical cost issues and the fact that it cannot by itself indicate a specific liver disease [3]

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severe or persistent upper abdominal pain should prompt urgent medical assessment [10] [11] Dehydration and acute kidney injury (AKI): gastrointestinal fluid losses can lead to dehydration, which may precipitate AKI, particularly in those with pre-existing renal impairment or those taking nephrotoxic medicines Delayed gastric emptying: this may affect the absorption of orally administered medicines, including contraceptive pills and thyroid replacement therapy [11] Injection site reactions: redness, bruising, or discomfort at the subcutaneous injection site Heart rate changes: increases in resting heart rate have been noted with GLP-1 class agents [14] [15] Hypoglycaemia: particularly if used alongside insulin or sulphonylureas Potential pancreatitis risk: a class concern with GLP-1 receptor agonists