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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

GLP-1 peptides commonly cause: Significant nausea : Often severe enough to require dose titration over months

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Because of this interaction, the compound has become a subject of interest in research focused on metabolic biology and enzymatic regulation