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You can change your diet to include vitamin B12-fortified grains, a supplement or B12 injections, or a high-dose oral vitamin B12 if you are deficient

0.40 mL is the 40-unit mark

Allergy 2007;62:1341-2

To balance risks and benefits, expert opinions emphasize the importance of individualized dosing, shared decision-making, and careful patient selection

Important Safety Warnings Seek immediate medical attention if you experience: Severe, persistent abdominal pain (possible pancreatitis) Signs of dehydration from vomiting or diarrhea (dizziness, decreased urination, extreme thirst) Symptoms of gallbladder disease (right upper quadrant pain, fever, yellowing of skin or eyes) Severe hypoglycemia (confusion, loss of consciousness, seizures) Allergic reactions (difficulty breathing, swelling of face or throat, severe rash) Vision changes (if diabetic) Rapid or irregular heartbeat with chest discomfort Do not use semaglutide if you have: Personal or family history of medullary thyroid carcinoma Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Known hypersensitivity to semaglutide or any formulation components Pregnancy or plans to become pregnant (discontinue at least 2 months before conception) Use with caution if you have: History of pancreatitis, severe gastrointestinal disease, diabetic retinopathy, kidney disease, or are taking insulin or sulfonylureas

[DOI] [PMC free article] [PubMed] [Google Scholar] 39.Liu, L