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They can recommend blood tests and monitoring, dietary changes, and supplements to increase B12 levels while still taking Ozempic

doi: 10.1001/jama.286.19.2405 116

doi:10.3238/arztebl.2019.0692 Prudhon S, Kubis N

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It is available in certain clinics under compounding programs, but quality and consistency can vary widely depending on the source (FDA PCAC briefingcompounding context)