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Outline icons set depicting GLP-1 side effects, nausea, diarrhea, decreased appetite, dizziness, injection site reaction

Heidari R, Ghanbarinejad V, Ommati MM, Jamshidzadeh A, Niknahad H, Mohammadi H, Sayad A, Mohammadi M, Niknahad H, Heidari R (2020) N-acetyl cysteine treatment preserves mitochondrial indices of functionality in the brain of hyperammonemic mice

However, for individuals who previously used food as a primary coping mechanism for stress, the sudden absence of those cravings can be jarring

After initial correction, some individuals may require ongoing maintenance injections (often monthly) if they cannot adequately absorb B12 from diet or oral supplements

8 Additionally, histamine-2 receptor antagonists (eg, famotidine) and proton pump inhibitors (eg, omeprazole) may be considered to potentially reduce gastric volume and acidity