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Known deficiency, prior low B12, fatigue follow-up, diet-related risk, and histories that can affect absorption are the most common reasons patients ask for B12 injections
Expected contraindications will likely mirror existing semaglutide contraindications: personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia type 2 (MEN 2), active pregnancy, or severe pancreatitis history
People who have celiac disease or regularly take acid reducing drugs might consider having B12 injections to compensate for their diminished ability to absorb B12 from their foods naturally
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