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Neurological recovery from B12 deficiency typically takes months, though some patients report reduced symptoms within weeks of starting treatment

Clin Epigenet (2020) 12(1):54

The Pittsburgh Sleep Quality Index (PSQI) is widely used to assess overall sleep quality, sleep disturbances, and daytime dysfunction [193]

Undesirable side effects Another possibility is that Ozempic doesnt directly affect your sex drive, but some of the gastrointestinal (GI) side effects like nausea, diarrhea, and constipation can make it difficult to get into a sexy state of mind

Many providers use lower starting doses or slower escalation schedules for patients with significant early side effects