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Pregnancy and Breastfeeding: Liraglutide is not recommended during pregnancy or breastfeeding due to potential risks and insufficient data on safety

Skeletal muscle tissue becomes a target for breakdown, particularly in patients who are not consuming adequate protein or engaging in resistance training

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B12 deficiency takes 13 years to show symptoms by then, nerve damage may be permanent

Also, since you need stomach acid to absorb B12, long-term use of acid-suppressing proton pump inhibitors (such as Nexium, etc.) can lead to B12 deficiency, as can chronic intestinal conditions such as Crohns disease, celiac disease, and intestinal parasites