Common symptoms include: Anemia Intestinal issues and weight loss Fatigue, weakness, or lightheadedness Memory loss or confusion Depression or dementia Rapid heartbeat and respiration Mouth or tongue soreness or bleeding Excessive bruising Vitamin B12 injections are the most effective administration method, bypassing absorption issues in the gastrointestinal tract
Lilly described it as generally mild and not typically a cause for discontinuation, but it is a new signal in this class
doi:10.1038/nature13198 (PMID 24717514) Kannt A, Rajagopal S, Kadnur SV, et al

Semaglutide/B12/Glycine Injections Physical Exam, Lab work and one month supply of medication Medication mailed to your home within 1-2 weeks after appointment GLP-1 is released after you eat and helps to regulate blood sugar levels Suppresses appetite, and promotes feelings of fullness Curbs cravings Weekly injections given by patient at home If lab work is required then an additional fee would apply., $25.00 Pricing: Month 1: $195.00 Month 2: $195.00 Month 3: $245.00 Month 4:, 5 and so on: $270.00 Tirzepatide Injections Physical Exam, Lab work, 1 month supply of medication Medication mailed to your home within 1-2 weeks after appointment Mimicks the effects of GLP-1 GLP-1 is released after you eat and helps to regulate blood sugar levels Helps to reduce appetite and promote feelings of fullness Curbs cravings Weekly injections If lab work is required then an additional fee would apply, $25.00 Pricing: Month 1: $205.00 Month 2: $280.00 Month 3: $355.00 Month 4: $420.00 Month 5: $555.00 Phentermine Physical exam, Prescription (30 day): $75.00 Suppresses appetite Pill taken daily in the morning If lab work is needed then additional fees would apply NAD+ NAD is a vital cofactor present in all living cells, essential for a multitude of metabolic processes

It can also be depleted by chronic stress, alcohol, smoking, digestive issues, cardiovascular disease, illness, and aging because stomach acid production decreases with age, reducing B12 absorption significantly