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When you combine a fiber-rich diet with semaglutide, your meals can be smaller and simpler (e.g

If B12 is given without adequate folate, the methylation cycle can become inefficient

A stomach that empties slowly also means food sits longer than someone is used to, so eating the volume that felt normal before treatment can leave the stomach overfull, distended, and queasy simply because it has not yet cleared the previous meal

Many individuals are deficient in B-12 without realizing it

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But it usually goes away on its own as the body gets used to Ozempic