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There was a significant difference in the baseline BMI between the two groups, with the acetazolamide group having a mean BMI of 32, compared with 38 in the GLP-1 agonist group

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Thats why too little B12 can also cause confusion, memory loss, and numbing or tingling in your hands and feet (1)

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doi: 10.1515/hmbci-2016-0003