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Rare side effects may include: Mild injection site irritation Headache Nausea Temporary flushing Excess B12 is typically excreted in urine

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In metabolic syndrome, GLP-1s decrease visceral fat and cardiometabolic risk, which may indirectly improve fertility outcomes by normalizing menstrual patterns and endometrial receptivity

Nevertheless, synthetic drugs are often associated with a higher risk of side effects, including severe adverse reactions, and tend to be more expensive (Table 1)