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Serious reactions to vitamin B12 are very rare, and most people will never experience them

If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)

Injections provide a reliable, fast-acting alternative to oral supplements

This medication is used to treat a variety of disease states, including anemia, cyanide poisoning, and vitamin B12 deficiency

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