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For patients without an underlying absorption disorder who received injections for general wellness, stopping should produce no noticeable negative effects, especially if dietary B12 intake is adequate

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Increases in resting heart rate are a recognised class effect of incretin-based therapies and have been reported with GLP-1 receptor agonists more broadly, as reflected in the Summary of Product Characteristics (SmPC) for licensed agents such as semaglutide (Wegovy) and liraglutide (Saxenda)