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Additionally, patients with inflammatory bowel disease, severe gastroesophageal reflux disease, or other significant gastrointestinal disorders should be monitored closely if treatment is initiated, as the gastrointestinal effects of semaglutide may worsen their underlying condition
B12 isn't a magic bullet
Doses greater than 0.4 mg/day should be avoided until the diagnosis of pernicious anemia is ruled out
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