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The injectable B12 in your compounded formulation provides direct supplementation, but the dose may not be sufficient for everyone, particularly those who were already B12-deficient before starting treatment

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Its important to note that semaglutide has a boxed warning from the FDA (the strongest safety warning for prescription drugs) about the risk of developing thyroid C-cell tumors, especially if you have a personal or family history of this type of cancer

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Semaglutide counters this by enhancing pancreatic beta-cell insulin release and improving peripheral insulin sensitivity