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Recommendation: Start b12 supplementation immediately, independent of semaglutide use
However, regulatory approval does not automatically guarantee broad access
7 , e1800672 (2018)
Patients should also discuss a history of: pancreatitis gallbladder problems kidney issues diabetic retinopathy pregnancy or plans to become pregnant severe gastrointestinal symptoms other medications that may affect treatment safety A provider visit is required to determine candidacy and ensure safe prescribing
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