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Patients should be counseled to report concerning symptoms such as neck swelling, difficulty swallowing, persistent hoarseness (potential thyroid issues), or severe abdominal pain, persistent vomiting, or right upper quadrant pain (potential pancreatitis or gallbladder issues)

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Quantity of Sessions Required In most cases, several sessions are needed to see some results

Gastrointestinal disorders, primarily nausea, were the most common treatment-emergent adverse events, which could be mitigated with slower dose escalation

If you eat very little meat, fish, eggs, or dairy or none at all dietary B12 is likely insufficient