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These may include pregnancy testing, complete blood count to assess for anemia, thyroid function tests (as thyroid disorders commonly affect menstrual cycles), and reproductive hormone panels measuring FSH, LH, estradiol, and prolactin levels

The Symptoms of Vitamin B12 Deficiency B12 deficiency is known as The Great Masquerader. The Efficacy and Safety of Creatine for High Homocysteine Those on a healthy plant-based diet with elevated homocysteine levels despite taking sufficient vitamin B12 may want to consider taking a gram a day of contaminant-free creatine

Gallbladder events : As with other incretin-based therapies, there is a potential risk of gallbladder disease, including cholelithiasis (gallstones)