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A 2023 case series published in the International Journal of Eating Disorders documented GLP-1-associated worsening of restrictive behaviors in four patients with subthreshold anorexia who had not disclosed their eating history to their prescribers [6]

Testing is recommended before initiating therapy Kidney stones: High-dose vitamin C metabolizes to oxalate, which can increase kidney stone risk in susceptible patients Interference with lab tests: High-dose vitamin C can interfere with certain blood glucose meters and occult blood tests Iron absorption: Vitamin C significantly enhances dietary iron absorption caution in patients with iron overload Common Side Effects Injection site pain, bruising, or swelling Mild flushing or warmth Nausea Headache Unusual taste in the mouth Mild fatigue Temporary increase in urination (vitamin C is water-soluble) Seek Medical Attention For Signs of allergic reaction: rash, swelling, difficulty breathing Severe flank or back pain (possible kidney stone) Signs of hemolysis: dark urine, jaundice, severe fatigue Severe injection site reaction or infection Drug Interactions High-dose vitamin C may reduce the effectiveness of certain chemotherapy agents Vitamin C can enhance iron absorption from supplements May affect warfarin anticoagulation (rare)