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This vitamin is vitamin B12

Allergy to vitamin B12: two cases of successful desensitization with cyanocobalamin

One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12

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Do not discontinue prescribed B12 treatment without medical advice, as this may be managing an important deficiency state

In controlled lab settings investigators have reported minimal acute toxicity during experimental protocols but researchers emphasize the importance of proper handling and safety protocols