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Nowadays, ashwagandha supplements are used for a variety of purposes, for example, to help with stress, anxiety, and sleep, and to promote athletic performance

For example: Fatigue, unexplained weight loss, or abdominal pain may indicate liver disease or cancer Easy bruising, night sweats, or feeling full quickly (early satiety) may suggest a myeloproliferative disorder Swelling in the legs, reduced urine output, or persistent nausea may point to kidney disease In cases of very high B12 from injections (not oral supplements), some people have reported headache, nausea, diarrhea, facial flushing, or skin rash

She adds that calorie counting could lead to overexercising, severe calorie restricting, or bingeing and purging behaviors

Some compounded formulations address this directly by including B12 in the semaglutide formulation or adding glycine for additional metabolic support