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It isn't just about how much of an ingredient you get

The closest analog (cagrilintide + semaglutide) has Phase 3 data showing meaningful additive benefit over semaglutide alone

Badenhorst T, Svirskis D, Wu Z

During the initial treatment period with methylcobalamin, pulmonary edema and congestive heart failure have reportedly occurred early in treatment with parenteral methylcobalamin