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Vitamin B12 is essential for neurological function and DNA synthesis

arrhythmias [5], or immunodysregulation [6]

More serious but rare adverse events include pancreatitis (0.2% incidence), gallbladder disease requiring surgical intervention, and medullary thyroid carcinoma risk in genetically predisposed individuals (contraindicated in patients with personal or family history of MTC or MEN2 syndrome)