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After an initial loading phase of frequent injections (often daily or weekly), many patients can transition to monthly or less frequent maintenance doses, depending on how well their levels stabilize
Used to support fatigue, mental clarity, and metabolic stress without flushing
In regular benzodiazepine users REMS and SWS tend to return to pre-drug levels (because of tolerance) but the initial deficit remains
The lack of monitoring means we cannot determine from existing clinical trial data whether semaglutide causes clinically significant b12 deficiency in typical patients
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