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Heart rate should be monitored at regular intervals consistent with usual clinical practice in patients taking semaglutide and patients should inform health care providers of palpitations or feelings of a racing heartbeat while at rest during semaglutide treatment

Gastrointestinal effects Nausea is the most commonly reported side effect and typically peaks during dose escalation

Presence of B12-blocking drugs or hormones

If you are experiencing any of these symptoms without a clear reason then checking your vitamin B12 levels would be the next appropriate step: How to check for Vitamin B12 Levels Its important to realize that some medical conditions are not appreciated and not taken as seriously as others