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One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12
Factors such as the form of B12 used, additional ingredients, and manufacturing standards should be considered
STEP 4 showed that discontinuing semaglutide led to significant weight regain, confirming that the drug actively maintains weight loss while being used
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