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NICE recommends intramuscular hydroxocobalamin as first-line treatment in these cases

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It is important to note that whilst heartburn is a recognised side effect of GLP-1 therapy, there is no evidence of permanent oesophageal damage in most patients

However, this response was not observed in M1 macrophages, which were able to sustain cell survival and their antimicrobial functions

The compounded semaglutide with B12 injection makes it convenient to take both drugs together and ensures higher bioavailability than oral B12 supplements, avoiding gastrointestinal absorption issues

Protecting the Gut: Assisting in the maintenance and repair of the stomach lining and digestive tract