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FDA-approved semaglutide products (Ozempic, Wegovy, Rybelsus) do not contain B12 and appear as clear, colorless solutions, similar to Mounjaro and Zepbound

To be taken preferably after food

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Strict vegans and vegetarians consuming no animal products require reliable B12 sources through fortified foods or supplements, typically 10 mcg daily or 2,000 mcg weekly , as recommended by the British Dietetic Association

As with any injection, mild side effects can occur, and rare allergic reactions are possible

Journal of Agricultural and Food Chemistry, 63 (14), 3752-3756