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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Takei A, Fukazawa T, Hamada T, Sohma H, Yabe I, Sasaki H, et al

The semaglutide molecule in compounded formulations should be chemically identical to what is in Wegovy

After opening, there is no separate shortened consume within X days window unless stated on the label

just a quick comment - trigeminal neuralgia can be a symptom of B12 deficency...and if you have B12 deficeny you may also develop other deficiencies...prime examples are iron, vitamin D and folate (folate and B12 work together so if folate is low, the body can't absorb B12 properly)