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This can result in a depletion of amino acids and key nutrients (such as zinc, selenium, B12, and iron/ferritin) needed for thyroid support, as well as for the synthesis of non-essential amino acids

"I didn't actually want to go this thin, but it just happened and I'll probably put it all on again soon." Sharon also recalled the side effects of the injectable drug, which has become increasingly popular over the past year and is FDA-approved as a treatment to lower blood sugar levels in adults with type 2 diabetes and as a remedy to reduce the risk of heart attack, stroke or death in adults with diabetes or heart disease

Vitamin B12 plays a role in red blood cell production, DNA synthesis, and the proper functioning of the nervous system

10.1007/s10815-020-01906-3 18 Garrido-MaraverJ.CorderoM

However, NICE and NHS guidelines emphasise that maintaining the same dose while reinforcing lifestyle strategies is usually more effective than escalation alone

With long-term use, metformin can lower vitamin B12 levels, so providers may check B12 periodically