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However, these patients had multiple risk factors for b12 deficiency beyond semaglutide use, including previous gastric surgery that permanently alters stomach anatomy and reduces intrinsic factor production
This creates a predictable pattern that many patients learn to manage by adjusting meal timing and composition around their injection schedule
Adjustments should be data-driven
When your levels are low, you might feel sluggish, get sick more often, or notice your skin looking dull and tired
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