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Semaglutide itself does not cause thyroid disease or hormone deficiency

Causes: (1) bacteriostatic water injected directly onto lyophilised powder instead of down the vial wall, causing mechanical denaturation

For a closer look at how B12 fits into semaglutide formulations, see Semaglutide With B12: What It Is and Whether It Helps

These can include: Eye pain or headaches Increased sensitivity to light or photophobia Dry eye and soreness or inflammation of the eye Eye strain, redness, and fatigue Eye floaters or the appearance of specks in your vision Unusual discharge or excessive tearing If blurry vision is accompanied by any of these symptoms you should seek urgent treatment from an ophthalmologist as prompt diagnosis and treatment can help to prevent complications from developing

Vitamin B12 Deficiency Low B12 levels cause a range of health problems

Safety, tolerability, and efficacy of NLY01 in early untreated Parkinson's disease: A randomised, double-blind, placebo-controlled trial