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At the very least, your doctor should be in line with the NICE and BNF guidelines

Often, you'll have the neurological or psychological symptoms before the anemia (low red blood cell count) is present

Common side effects include pain or discomfort at the injection site, and less commonly, gastrointestinal disturbances, allergic reactions, or other issues

ADVANCED NERVOUS SYSTEM SUPPORT: High-dose B12 plays a critical role in neurological health

When constipation doesn't resolve: the persistent motility subset About 15-20% of patients develop persistent constipation that continues as long as they're on semaglutide

Japjec M et al