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Adverse effects: Seek medical advice if you develop any unusual, severe, or persistent side effects or symptoms after taking vitamin B12 supplements

Not only that, it's the fear of it

They are not held to the same purity, sterility, or potency standards as medications intended for human administration

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Use caution in patients with a history of anaphylaxis or angioedema to other GLP-1 receptor agonists because it is unknown whether such patients will be predisposed to serious reactions with semaglutide

"I received six B12 injections from a nurse at my surgery (and scheduled for three monthly for further injections)." That's a UK treatment pattern for B12 deficiency without neurological symptoms