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This is where I think the best path forward is to present several theories, which Im listing roughly from plausible to speculative

Nausea uncommon, but more likely if you're pushing 500 mcg+ of each component

Medication Interactions Some of the Drugs taken by diabetic patients negatively affect Plasma donation

Conditions including acute hepatitis, cirrhosis, non-alcoholic fatty liver disease (NAFLD), and liver cancer have all been associated with elevated serum B12

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Oral Semaglutide and Cardiovascular Outcomes in Patients With Type 2 Diabetes