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If your pharmacy includes B12 at a lower concentration, you may want to supplement with additional oral or sublingual B12 between injections, especially at lower semaglutide doses where injection volume (and therefore B12 delivery) is minimal

Lactation: Advise women not to breastfeed during treatment with pemetrexed and for 1 week after the final dose [see Use in Specific Populations (8.2)]

Difficulty Conceiving: If you're trying to get pregnant, irregular or absent ovulation will make conception more challenging

Blood test results will also show if your levels are improving.

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Causes of vitamin B 12 deficiency Absorption of vitamin B 12 from food requires normal function of the stomach, pancreas, and small intestine