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Funding This work was supported by grants from the Ministry of Science and Technology (MOST 108-2320-B-255-003-MY3, MOST 109-2327-B-255-001, and MOST 109-2327-B-182-002) and Chang Gung Memorial Hospital (BMRP450, and CORPG5K0031)

Theres limited scientific evidence directly linking semaglutide use to vitamin B12 deficiency or recommending routine vitamin B12 supplementation for people taking semaglutide

Zhao M, Sun B, Wang Y, Qu G, Yang H, Wang P

Drugs that are extremely lipid soluble, penetrate milk in higher concentrations almost without exception

Taurine enhances voluntary alcohol intake and promotes anxiolytic-like behaviors in rats

Additionally, the extra male hormones, coupled with lower levels of estrogen and progesterone, are also what disrupts the normal menstruation cycle and cause other physical male-traits as well as hormonal imbalance