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Lancet (1999) 354(9180):7401.10.1016/S0140-6736(99)02479-4 13 NyholmETurpinPSwainDCunninghamBDalySNightingalePet alOral vitamin B12 can change our practice

Taking certain medications regularly can also cause this

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If you are a new patient who has never used GLP-1 type medications (tirzepatide/semaglutide/liraglutide), you may wish to request just 1 month to start off with if you are concerned about potential side effects, or feel you may be particularly prone to them

It also controls blood sugar levels, helping to reduce cravings

It is closely associated with choline