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Individuals who are deficient in vitamin B12 may also consider B12 injections

Pregnancy and Breastfeeding: The safety of Semaglutide during pregnancy or breastfeeding has not been established

Non-specific symptoms and signs are loss of appetite, diarrhoea, fatigue and weakness, shortness of breath, low blood pressure, confusion, and change in mental states.9 29 Classical manifestations include Hunters glossitis, megaloblastic anaemia, and subacute combined degeneration of spinal cord (Table 29)

Spotting these signs early is important

Key finding: AOD 9604 reduced visceral fat by 38%, improved HOMA-IR by 52%, and corrected glucose intolerance (fasting glucose -28%)

If the (metabolisable) energy from feed intake and the body reserves is less than required for the foetus to grow or to produce milk the body is in a Negative Energy Balance (NEB)