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Oral administration of high-dose vitamin B 12 (1 to 2 mg daily) is considered as effective as intramuscular administration for correcting anemia and neurologic symptoms Despite many studies suggesting oral administration of vitamin B 12 to be easy, effective and less costly than intramuscular administration, debate surrounds the effectiveness of the oral route

These changes are generally indirect rather than a direct pharmacological effect of semaglutide or tirzepatide on reproductive hormones

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Backup contraception (such as condoms) during your first 12 months of semaglutide therapy is a prudent precaution while your body adjusts to the medication

There are physiological and psychological adaptations to weight loss that promote eating and motivation for energy dense foods, he says