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Most Common Side Effects Nausea Vomiting Constipation or diarrhea Appetite suppression (often excessive) Fatigue or low energy (especially during rapid weight loss) The most frequent adverse events were mild-to-moderate gastrointestinal symptoms, typically resolving within the first few weeks of treatment. Drucker, Cell Metabolism Serious But Rare Risks Pancreatitis inflammation of the pancreas

Behaviors such as eating talking, washing the face, brushing teeth and smoking may provoke symptoms

Degradation is a gradual process, not a sudden event

In absence of an intrinsic factor, the body cant really absorb vitamin B12 appropriately