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The theory is that long-term use of semaglutide, particularly without a controlled diet, could lead to vitamin B12 deficiency due to the effects on gastric emptying

This is the bigger risk and it is the reason we insist on a written history first

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Anyone who suspects they have experienced an adverse reaction to any medicine or substance licensed or otherwise should report it to the MHRA via the Yellow Card scheme (yellowcard.mhra.gov.uk)

Sealed formulation can be expired within 18-36 months of production while once it gets opened

During your appointment Your provider will inject B12 into a large muscle, usually the upper arm or thigh