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Compounded semaglutide comes in different concentrations depending on your pharmacy

The frequency of B12 IM injections can vary based on individual needs and the severity of B12 deficiency

However, a small study from 2021 argues that differences in bioavailability between the two forms are negligible and that cyanocobalamin may maintain serum levels better

It is a standard blood test with minimal risk of complications

Vitamin B12 Deficiency and Clinical Neuropathy with Metformin Use in Type 2 Diabetes