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Description
That's what I have issue with

Vitamin B12 has a long history of effective subcutaneous delivery, with little to no muscle pain after B12 injections

Metformin-induced vitamin B12 deficiency can cause or worsen distal symmetrical, autonomic and cardiac neuropathy

Is there any downtime or side effects

Gastrointestinal adverse effects represent the most commonly observed side effects of Semaglutide / Cyanocobalamin Injection, occurring in a substantial proportion of patients, particularly during the initial weeks of treatment or following dose escalations
B12 IM injections are often recommended for individuals with conditions that affect B12 absorption, such as pernicious anemia, atrophic gastritis, or those who have undergone certain gastrointestinal surgeries
