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Dehydration is a well-established cause of headache and may occur with GLP-1 medications due to reduced fluid intake (from appetite suppression) or increased fluid loss (from gastrointestinal side effects such as nausea, vomiting, or diarrhoea)

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In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up

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