If b12 was added specifically for theoretical semaglutide effects and your levels test normal, stopping supplementation makes sense
The upside is that if you were experiencing Wegovy or Ozempic side effects , such as nausea, vomiting, diarrhea, constipation, or abdominal discomfort, those typically go away once the medication is discontinued
If you are going under general anesthesia or deep sedation, GLP-1s may make you accidentally breathe food or liquid into your lungs (pulmonary aspiration)
Part of the difficulty with being a physician that treats medical obesity is having to come up with options that we know are not superior to what we want to give and having to give inferior options because the limiting factor is insurance coverage, Shah said
If finalized, it would formally close their pathway to compound semaglutide and tirzepatide from bulk substances
But many eventually stop often because of high costs, insurance challenges or uncomfortable side effects