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and I am not comfortable telling cancer patients what to do

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One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12

Pregnant or breastfeeding patients, and anyone currently on prescription medications that interact with B12 metabolism, should also confirm safety with their healthcare provider first

B12 deficiency can bring a wide variety of symptoms, due to the nerves and brain function being negatively affected