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If youre a vegetarian, you may still eat some animal products and therefore get naturally occurring vitamin B12

While Vitamin B12 tablets are readily available, easy to use (you just pop it in your mouth!), and cheaper, the rate at which the vitamin absorbs in tablet form is relatively slow

True appetite suppression from semaglutide feels like genuine disinterest in food, like the mental volume on hunger has been turned down

Whilst initially approved in the European market in 2006, the drug was later withdrawn in 2009 because of the increased risk of severe mood disorders and suicide [104]

Patients and trial participants should be aware of the following red flag symptoms that require urgent review: Dysphagia (difficulty swallowing) or odynophagia (painful swallowing) Unexplained weight loss beyond that expected from the medication Persistent vomiting or an inability to keep fluids down Haematemesis (vomiting blood) or melaena (black, tarry stools) Severe or worsening chest pain if you experience severe chest pain, particularly with breathlessness, sweating, or pain radiating to the arm or jaw, call 999 immediately , as these may indicate a cardiac emergency rather than a digestive cause Symptoms that persist despite appropriate self-management , or that significantly affect daily life These symptoms may indicate more serious conditions such as oesophagitis, peptic ulceration, or, in rare cases, upper GI pathology requiring endoscopic investigation

Constipation occurs because the overall movement of the digestive tract has slowed down