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Separate high-dose oral b12 (1000 to 2000 mcg daily) or regular b12 injections (1000 mcg weekly or monthly) offer more reliable repletion

Additionally, if you're using Ozempic and notice other side effects like hypoglycemia (low blood sugar) or signs of pancreatitis, such as severe stomach pain that doesn't go away, these could indicate serious conditions that require immediate attention

Consider decreasing high-calorie options like sugary foods or simple carbohydrates as an initial step." Even with medication, excess calories can hold you back

Some find morning injection preferable because they can eat a small meal two hours prior

Side effects are rare but might include temporary discomfort or swelling at the IV site

The difference lies in whether protective strategies are in place to safeguard mental well-being