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Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory

Nat Immunol (2010) 11(7):61827

Misconception: the heart rate increase means retatrutide is harder on your heart than semaglutide This assumes that heart rate is the only relevant cardiac parameter