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Therapy with a GLP-1 RA or sodium-glucose cotransporter 2 inhibitor (SGLT2 inhibitor) that has proven CV benefit is recommended for initial therapy, with or without metformin based on glycemic needs, in patients with indicators of high-risk or established CV disease

Symptoms include: Fatigue and Lethargy Depression Irritability Headaches Difficulty with balance Decreased Cognitive Function Constipation Sore or Swollen Tongue Palpitations Mouth Ulcers Pins and Needles Changes to vision People With Gastrointestinal Issues If youre suffering from any gastrointestinal disorders, you may be at a higher risk of Vitamin B12 deficiency

The majority of reports of nausea, vomiting, and/or diarrhea occurred during dose escalation and decreased over time

Diagnosing Vitamin B12 Deficiency Since hair loss and graying can result from many conditions, it's important to get the right medical tests and professional diagnosis