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Compounded semaglutide is a solution for those who cant get FDA-approved semaglutide due to shortages or for patients who require customized dosing

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Treatment with high dose vitamin B12 been shown to be safe for more than 50 years Out of fear of overdosing vitamin B12, treatment is often reduced to below the frequency that is needed by the patient, or, even worse, treatment is stopped completely

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The most likely cause of the fatigue is l ack of production of creatine due to functional vitamin B12 deficiency (see below)