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This isnt theoretical we see it clinically

Vitamin B Complex: Package Insert / Prescribing Info Package insert / product label Dosage form: injection Drug class: Vitamin and mineral combinations Medically reviewed by Drugs.com

Like nausea and vomiting, it usually occurs when starting semaglutide

A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented

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A B12 Pill or Tablet You can buy B12 supplements over the counter, just like any other vitamin, at pharmacies, grocery stores, and health food shops