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Symptoms of vitamin B12 deficiency include fatigue, irritability, anxiety, low energy, depression, forgetfulness, constipation, new food sensitivities, hot and cold flashes, sore muscles, pale skin, numbness, tingling, and dermatitis

Phase 1: the 0.25mg starting dose (5 units) Do not expect weight loss during this phase

The extended half-life of approximately 7 days makes it ideal for weekly administration protocols

In contrast with other GLP-1 agonists, maternal exposure to exendin-4 resulted in an increase in pre-weaning fetal growth in one study (15)