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Side Effects Comparison# MET-097i Side Effects# Phase 2b data from VESPER trials reported GI adverse events consistent with the GLP-1 class, but detailed rates have not been fully published

These findings, consistent with megaloblastic anemia, confirmed the diagnosis of megaloblastic anemia due to vitamin B 12 deficiency

So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant