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Lets unpack the science behind this common, yet profoundly important, question

Chronic high-dose vitamin B intake (generally in gram quantities daily over many months) has been linked to severe sensory neuropathy characterized by numbness, impaired proprioception, and paresthesia in a stocking-glove distribution

8,15 Serum holotranscobalamin level, which is reduced in vitamin B 12 deficiency, compared favorably with homocysteine and methylmalonic acid levels as a confirmatory test in one study, but further trials are needed before its widespread use for this purpose can be recommended

One point immediately stands out: cagrilintide alone provides the most moderate reduction of the three