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This risk is established for tamoxifen and raloxifene and theoretically applies to enclomiphene

While Christchurch Clinics does not provide B12 tablet prescriptions or supply, we can advise whether this may be a suitable option for you alongside other treatment approaches

[1] [3] Understanding these multisystem effects is essential when evaluating potential adverse effects, including fatigue, as the widespread distribution of GLP-1 receptors means these medications influence numerous physiological processes beyond glucose metabolism

doi: 10.1111/psyp.14226 35 GuyattG

Ozempic primarily reduces how much you eat by suppressing appetite and slowing digestion