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Gastrointestinal symptoms (nausea, diarrhea, constipation, abdominal pain) are most common, typically occurring during dose escalation and often improving with continued use

Severe gastrointestinal injury claims linked to Ozempic typically include: Gastroparesis (stomach paralysis) : Some Ozempic users suffer severe gastroparesis (stomach paralysis), where the digestive system no longer moves food properly, causing severe vomiting and early fullness

Significance during GLP-1 therapy: Low magnesium levels (hypomagnesemia) can lead to muscle cramps, seizures, and increased risk of cardiovascular issues

The above is usually talked of in terms of 'anaemia', but it does show that there is a complicated link between B12, B6, folic acid, zinc and vitamin D levels, chronic disease (anaemia of chronic disease) and how the body 'manages' serum iron, ferritin, and transferrin iron saturation and keeps these in balance (or not, as in your case)