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What about timing semaglutide with methylcobalamin B12

Childs BG, Zhang C, Shuja F, et al

With oral supplements, absorption can vary depending on several factors such as digestive health, medications, and individual metabolism

[19] However, the pharmacodynamic effectsparticularly on gastric emptying and appetitemay be different in patients with reduced gastric capacity, potentially requiring more cautious dose titration than in bariatric-naive patients