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Offered by our Telehealth, this program helps you stay on track with your food intake and weight goals

Discard any unused portion after the expiration or beyond-use date

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The recommendations above are for the cyanocobalamin form of B12 which is the form used for most fortified foods and many supplements

[28] Vitamin B 12 additionally becomes inactive when exposed to intense heat or electromagnetic radiation

The combination is most useful for patients with one or more of the following: BMI of 30 or higher , or BMI 27 with at least one weight-related condition such as type 2 diabetes, hypertension, or sleep apnea History of fatigue, low mood, or brain fog on previous diets or weight loss attempts Metformin use for type 2 diabetes or pre-diabetes (chronic metformin reduces B12) Long-term proton pump inhibitor use such as omeprazole, pantoprazole, or lansoprazole Vegetarian or vegan diet with limited animal protein intake Adults over 50 , where B12 absorption naturally declines Active strength training or higher physical demands while on a calorie deficit Patients who dont fit any of these profiles can still take semaglutide alone, then add B12 if symptoms suggest it