This often happens because of a specific medical need or, quite commonly today, because of a national medication shortage
doi: 10.1038/s41467-019-13668-3 2 Kwasniak-OwczarekMKazmierczakUTomalAMackiewiczPJanskaH
Victoza may contribute to an increased risk for thyroid c-cell tumors, acute pancreatitis, gallbladder disease, hypoglycemia, acute kidney injury, severe GI side effects, hypersensitivity reactions, increased heart rate, abdominal pain, reflux, gas and dizziness
These medications include semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound)
Studies have used doses up to 90 grams per day over several weeks without serious adverse effects
Overdoses of vitamin B12 are rare since it has a low toxicity level as a water-soluble vitamin excreted through the urine