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According to the NHS, the usual pattern depends on the cause: Non-dietary cause (for example an absorption problem): an injection of hydroxocobalamin every two to three months, usually for life

Patients were excluded if they had any comorbid nociceptive or neuropathic chronic pain or inflammation, as were patients at risk of vitamin B12 deficiency

Consult a healthcare provider before beginning any semaglutide protocol to discuss appropriate dosing, potential interactions with other medications, and contraindications that may apply to your specific health situation

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Link Sikiric P, et al