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It depends on symptom severity and how you respond

PMID: 28121423 | doi:10.1021/acs.biochem.6b01215 Akar S et al

Sodium valproate decreases biotin absorption, decreases vitamin D metabolism, and decreases availability of folate

We know that individuals on plant-based diets have to take supplemental B12, but we dont have to get injections

Here in this prespecified analysis, we examined effects of semaglutide on weight and anthropometric outcomes, safety and tolerability by baseline body mass index (BMI)