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During therapy, B12 levels may rebound quickly after injections, but functional markers like MMA and homocysteine can reveal whether tissue-level B12 status is truly improving

Less urgent but still worth reporting: side effects that do not improve after seven days at any dose level, persistent diarrhea that interferes with daily activities, significant hair thinning (which can occur during rapid weight loss phases and may relate to nutritional deficiencies rather than medication directly), mood changes including increased anxiety or depression, and hair loss patterns that seem disproportionate to weight loss speed

Are there any dietary restrictions while taking this

Against the above background, Christophe Abi Zeid Daou from the Department of Otolaryngology and Head and Neck Surgery at the American University of Beirut Medical Center, Lebanon, and colleagues aimed to explore the potential link between thyroid cancer and weight-loss medications

Tolhurst G, Zheng Y, Parker HE, Habib AM, Reimann F, Gribble FM