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The second option is to have vitamin B12 injections
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Administration of placebo tablets concomitantly with oral semaglutide can reduce exposure to semaglutide by 35% in healthy subjects [28] and reinforces the dosing conditions to avoid administering other oral medications within 30 minutes of oral semaglutide [1, 28]
Peptide effects on appetite, stress response and metabolism can tangentially shift reproductive hormones
