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Pre-existing b12 deficiency or low-normal levels Anyone starting semaglutide with documented b12 deficiency or levels in the low-normal range (200 to 400 pg per milliliter) should receive supplementation
They can: Assess your individual risk based on your health profile Recommend additional monitoring if needed Prescribe a replacement dose so you do not miss your schedule Advise whether the expired dose should count toward your treatment or be repeated Step 5: Dispose of the expired medication properly Do not flush semaglutide down the toilet or throw it in regular trash
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