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There isnt strong proof that GLP-1 medicines directly cause DME, but its something doctors keep an eye on

In mild cases, low levels of vitamin B12 can cause fatigue and anemia, while more serious deficiencies can lead to serious neurological and heart impairments

In many cases, the answer involves cutting corners somewhere in the quality chain: using lower-cost API from questionable sources, reducing testing, operating in substandard facilities, or skipping cold-chain shipping

Now, heres the kicker: if you just quit TRT cold turkey, you could see a quick comeback of those low testosterone symptoms as a result of testosterone withdrawal