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[15] Hydroxocobalamin is first line therapy for people with cyanide poisoning

So, far, so good

But attributing this fatigue to b12 deficiency requires evidence that deficiency has actually developed

The NHS palpitations page and NICE Clinical Knowledge Summary (CKS) on Palpitations provide further guidance on when to seek help

There is a pregnancy exposure registry for women who use semaglutide intended for weight management (Wegovy) during pregnancy

Source: Cobalamin: Diagnostic use and therapeutic considerations
