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whereas cyanocobalamin does not have this effect (7)

Pharmacological interventions such as orlistat or GLP-1 receptor agonists may be considered for patients with BMI 30 kg/m who have not achieved adequate weight loss through lifestyle measures alone

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: (mild nausea) - (paradoxical fatigue) (Rare ): 1

Deficiency causes megaloblastic anemia fewer, larger, less efficient red blood cells that carry less oxygen per cell