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But when doses increase, this can lead to piles and we know this because we ask those questions during consultations

Graphical Abstract Similar content being viewed by others Introduction Obesity is an escalating global health issue

People can also have 'normal' levels of B12 in their blood, but be symptomatic - this is known as a functional B12 deficiency

Ozempic has the same active ingredient, but is approved for diabetes management, though you may have heard that it can be prescribed for off-label use

Kanda et al, 2020

Selenium-enriched Cardamine violifolia protects against sepsis-induced intestinal injury by regulating mitochondrial fusion in weaned pigs