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Low Blood Sugar (Hypoglycemia): Semaglutide can lead to low blood sugar levels, particularly when used with other glucose-lowering medications

One study examining patients who had undergone bariatric surgery and subsequently used semaglutide found mean vitamin b12 levels decreased from 567 to 494 mcg per deciliter over 12 months

This mechanism creates an appetite-neutral fat loss process that preserves normal hunger signaling, maintains hormonal stability, and allows dietary flexibility

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Your provider will guide timing and dose if youre pregnant, breastfeeding, or managing a medical condition